Excellent Care Provider Inc
Excellent Care Provider Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in San Mateo, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
840 Kathryne AveSan Mateo, CA 94401-3125
Phone: (650) 703-3532
Fax: (650) 583-8224
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 220000364 (CA) |
|---|
Record details
| NPI number | 1982085981 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Avelina Alfonso — Owner/President · (650) 255-1072 |
| Other names | Kathryne Manor Icf/Dd-H |
| NPI enumerated | June 16, 2015 |
| Last updated in NPPES | June 16, 2015 |
| Mailing address | 840 Kathryne Ave, San Mateo, CA 94401-3125 |
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