Organization
MARIN CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELISHA GELARDIN (CHIEF EXECUTIVE OFFICER)
(415) 350-3804
Entity
Organization
Contact information
Practice address
710 4TH ST, SAN RAFAEL, CA 94901-3213
(415) 459-6245
(415) 459-7047
Mailing address
710 4TH ST, SAN RAFAEL, CA 94901-3213
(415) 459-6245
(415) 459-7047
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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