Organization
LAGUNA GROVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADER SHABAHANGI (CEO)
(415) 431-8143
Entity
Organization
Contact information
Practice address
432 IVY ST, SAN FRANCISCO, CA 94102-4254
(415) 431-8143
Mailing address
432 IVY ST, SAN FRANCISCO, CA 94102-4254
(415) 431-8143
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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