Organization
CLEANSLATE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON WILLIAM BURNS (CEO)
(415) 481-8894
Entity
Organization
Contact information
Practice address
101 POLK ST UNIT 804, SAN FRANCISCO, CA 94102-4758
(415) 481-8894
Mailing address
101 POLK ST UNIT 804, SAN FRANCISCO, CA 94102-4758
(415) 481-8894
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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