# AGILITY HEALTH

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

## Provider details

- **NPI number:** 1871013920
- **Authorized official:** MS. LORNA S BEUKEMA PT (OWNER/CEO/ADMINISTRATOR)
- **Authorized official phone:** (650) 551-7522

## Contact information

- **Practice address:** 1710 S AMPHLETT BLVD STE 110, SAN MATEO, CA 94402-2704
- **Practice address phone:** (650) 453-5100
- **Mailing address:** 1710 S AMPHLETT BLVD STE 110, SAN MATEO, CA 94402-2704
- **Mailing address phone:** (650) 453-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 550001841 | CA | Yes |

## Other

- **Enumeration date:** 06/20/2017
- **Last updated:** 07/21/2022