Organization
SUZI STEFANAC DBA HENNELLY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZI STEFENAC (OWNER)
(650) 307-5110
Entity
Organization
Contact information
Practice address
306 31ST AVE, SAN MATEO, CA 94403-3311
(650) 307-5110
Mailing address
306 31ST AVE, SAN MATEO, CA 94403-3311
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/30/2022
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