Provider Demographics
NPI:1588937684
Name:SEQUOIA SENIOR SOLUTIONS, INC.
Entity type:Organization
Organization Name:SEQUOIA SENIOR SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:STANTON
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-763-6600
Mailing Address - Street 1:191 LYNCH CREEK WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-2376
Mailing Address - Country:US
Mailing Address - Phone:707-763-6600
Mailing Address - Fax:707-763-6607
Practice Address - Street 1:191 LYNCH CREEK WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-2376
Practice Address - Country:US
Practice Address - Phone:707-763-6600
Practice Address - Fax:707-763-6607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care