Hale Kokua, Inc
Hale Kokua, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Mateo, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1618 S Grant StSan Mateo, CA 94402-2657
Phone: (650) 578-1183
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 220000232 (CA) |
|---|
Record details
| NPI number | 1073710976 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pureza Ganio — Ceo · (650) 520-5545 |
| Other names | South Grant Icf / Ddh |
| NPI enumerated | July 2, 2007 |
| Last updated in NPPES | January 21, 2015 |
| Mailing address | 1433 Dakota Avenue, San Mateo, CA 94401 |
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