Organization
ANTON'S HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTELITA SANTIAGO EVANGELISTA (PRESIDENT)
(415) 987-3401
Entity
Organization
Contact information
Practice address
2598 OLYMPIC DRIVE,, SAN BRUNO, CA 94066-1251
(650) 553-5009
(850) 878-3131
Mailing address
4358 CALLAN BLVD., DALY CITY, CA 94015-4404
(415) 987-3401
(650) 878-3131
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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