Organization
GOLDEN RESIDENTIAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONINA MISTAS MAGTIBAY (OWNER / ADMINISTRATOR)
(415) 587-2507
Entity
Organization
Contact information
Practice address
166 FOOTE AVE, SAN FRANCISCO, CA 94112-3604
(415) 587-2507
(415) 452-0486
Mailing address
166 FOOTE AVE, SAN FRANCISCO, CA 94112-3604
(415) 587-2507
(415) 452-0486
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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