Organization
MALAMA HALE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PACIFICO T. RUIZ ADMINISTRATOR (QMRP)
(650) 703-5703
Entity
Organization
Contact information
Practice address
5105 SLOAN WAY, UNION CITY, CA 94587-5560
(650) 703-5703
(510) 324-3566
Mailing address
5105 SLOAN WAY, UNION CITY, CA 94587-5560
(650) 703-5703
(510) 324-3566
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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