Organization
MILLS-PENINSULA HEALTH SERVICES
Active
Parent organization
MILLS-PENINSULA HEALTH SERVICES
Other names
Mills-Peninsula Senior Focus Center Adult Day Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLS-PENINSULA HEALTH SERVICES
Authorized official
ROBERT MERWIN (CHIEF EXECUTIVE OFFICER)
(650) 696-5270
Entity
Organization
Contact information
Practice address
1720 EL CAMINO REAL, SUITE 10, BURLINGAME, CA 94010-3225
(650) 696-3660
Mailing address
PO BOX 60000, FILE 73688, SAN FRANCISCO, CA 94160-0001
(650) 652-3803
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
070000551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70045F
—
CA
Enumeration date
12/29/2008
Last updated
12/29/2008
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