Organization
MISSION HOPE DEVELOPMENTAL SERV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIMFA YAMSUAN COLEMAN (LICENSEE)
(510) 780-0832
Entity
Organization
Contact information
Practice address
1159 CITRON WAY, HAYWARD, CA 94545-2459
(510) 780-0832
(925) 560-5621
Mailing address
1159 CITRON WAY, HAYWARD, CA 94545-2459
(510) 780-0832
(925) 560-5621
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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