Organization
STA INES CARE HOME INC
Active
Other names
YORKTOWN HOME
Organization subpart
No
Provider details
NPI number
Authorized official
LEONILA REYES SALOMON (OWNER ADMINISTRATOR)
(650) 759-8518
Entity
Organization
Contact information
Practice address
1644 YORKTOWN RD, SAN MATEO, CA 94402-4038
(650) 759-8518
Mailing address
1644 YORKTOWN RD, SAN MATEO, CA 94402-4038
(650) 759-8518
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
06/29/2007
Last updated
07/19/2007
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