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Organization
MONES JOHN MOHSENI AND MINA MOHSENI
Active
Organization
MONES JOHN MOHSENI AND MINA MOHSENI
Active
Other names
Liberty Homes Hathaway ICF/DD-H
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONES JOHN MOHSENI (LICENSEE/ADMINISTRATOR)
(510) 278-8908
Entity
Organization
Contact information
Practice address
19834 HATHAWAY AVE, HAYWARD, CA 94541-2313
(510) 278-8908
(510) 278-8908
Mailing address
19834 HATHAWAY AVE, HAYWARD, CA 94541-2313
(510) 278-8908
(510) 278-8908
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
550000119
CA
Other
Enumeration date
04/16/2008
Last updated
06/18/2008
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