Organization
OBDULIA'S RESTHOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE CAREY (LICENSEE/ADMINISTRATOR)
(415) 641-4171
Entity
Organization
Contact information
Practice address
2335 SILVER AVE, 1919 PALOU AVE, SAN FRANCISCO, CA 94124-2060
(415) 641-4171
(415) 821-0720
Mailing address
PO BOX 883542, SAN FRANCISCO, CA 94188-3542
(415) 641-4171
(415) 821-0720
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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