Organization
MORNING STAR RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY C MATEO (LLC OFFICER)
(415) 587-6034
Entity
Organization
Contact information
Practice address
658 SHOTWELL ST, SAN FRANCISCO, CA 94110-2624
(415) 285-1368
(415) 285-1368
Mailing address
91 LAKEWOOD AVE, SAN FRANCISCO, CA 94127-2719
(415) 587-6034
(415) 587-6034
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
380540234
CA
311ZA0620X
Adult Care Home Facility
Primary
380540235
CA
311ZA0620X
Adult Care Home Facility
385600364
CA
311ZA0620X
Adult Care Home Facility
389210032
CA
311ZA0620X
Adult Care Home Facility
389210033
CA
Other
Enumeration date
09/12/2007
Last updated
07/23/2008
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