Organization
MARLEE-I MYSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED KING (OWNER)
(415) 787-2637
Entity
Organization
Contact information
Practice address
849 JAMESTOWN AVE UNIT 301, SAN FRANCISCO, CA 94124-3781
(415) 787-2637
Mailing address
849 JAMESTOWN AVE UNIT 301, SAN FRANCISCO, CA 94124-3781
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
10/03/2025
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