# ELDERLY MANOR AFFILIATION INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interguide Dental & Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669911582
- **Authorized official:** MS. GALINA MALYKHINA CST (OWNER/CEO)
- **Authorized official phone:** (650) 697-7744

## Contact information

- **Practice address:** 554 KEELSON CIR, REDWOOD CITY, CA 94065
- **Practice address phone:** (650) 697-7744
- **Practice address fax:** (650) 697-7754
- **Mailing address:** 274 REDWOOD SHORES PKWY, SUITE 713, REDWOOD CITY, CA 94065-1173
- **Mailing address phone:** (650) 697-7744
- **Mailing address fax:** (650) 697-7754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 34766 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017