# MARIN CENTER FOR INDEPENDENT LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053005215
- **Authorized official:** MR. ELISHA GELARDIN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (415) 350-3804

## Contact information

- **Practice address:** 710 4TH ST, SAN RAFAEL, CA 94901-3213
- **Practice address phone:** (415) 459-6245
- **Practice address fax:** (415) 459-7047
- **Mailing address:** 710 4TH ST, SAN RAFAEL, CA 94901-3213
- **Mailing address phone:** (415) 459-6245
- **Mailing address fax:** (415) 459-7047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/08/2023