Poplar House

LBN: Mateo Lodge, Inc.
Poplar House is an health care organization with primary practice located at 164 Poplar Ave , Redwood City CA 94061-3013. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Mateo Lodge, Inc. can be contacted via phone (650) 568-9006, or through Adamson, Ian via phone (650) 363-8125.

Contact Information

Primary practice address
164 Poplar Ave Redwood City CA 94061-3013
Phone: (650) 568-9006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adamson, Ian
Phone: (650) 363-8125

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1447393202
LBN Legal business name Mateo Lodge, Inc.
DBA Doing business as Poplar House
Authorized official Adamson, Ian
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Jun 24th, 2008 - about 16 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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