# MARLEE-I MYSTIC LLC

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

## Provider details

- **NPI number:** 1952100943
- **Authorized official:** MILDRED KING (OWNER)
- **Authorized official phone:** (415) 787-2637

## Contact information

- **Practice address:** 849 JAMESTOWN AVE UNIT 301, SAN FRANCISCO, CA 94124-3781
- **Practice address phone:** (415) 787-2637
- **Mailing address:** 849 JAMESTOWN AVE UNIT 301, SAN FRANCISCO, CA 94124-3781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 282J00000X | Religious Nonmedical Health Care Institution | — | NULL | — |
| 374J00000X | Doula | — | NULL | Yes |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2025
- **Last updated:** 10/03/2025