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Organization

LADY OF PERPETUAL HELP RFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CEASAR PULIDO GREPO (LICENSEE ADMINISTRATOR)
(415) 285-9866
Entity
Organization

Contact information

Practice address
476 FAIR OAKS ST, SAN FRANCISCO, CA 94110
(415) 285-9866
(415) 285-9866
Mailing address
476 FAIR OAKS ST, SAN FRANCISCO, CA 94110
(415) 285-9866
(415) 285-9866

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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