Kathryne Manor Icf/Dd-H

LBN: Excellent Care Provider Inc
Kathryne Manor Icf/Dd-H is an health care organization with primary practice located at 840 Kathryne Ave , San Mateo CA 94401-3125. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Excellent Care Provider Inc can be contacted via phone (650) 703-3532, or through Alfonso, Avelina Q via phone (650) 255-1072.

Contact Information

Primary practice address
840 Kathryne Ave San Mateo CA 94401-3125
Phone: (650) 703-3532
Fax: (650) 583-8224
Website:
Map and Directions
Authorized official contact:
Name: Alfonso, Avelina Q
Phone: (650) 255-1072

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 220000364 California

Profile Details

NPI number 1982085981
LBN Legal business name Excellent Care Provider Inc
DBA Doing business as Kathryne Manor Icf/Dd-H
Authorized official Alfonso, Avelina Q
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2015
Last updated Jun 16th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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