Larchmont Home
NPI #1043482862 in Daly City, California
Provider Information
- NPI Number
- 1043482862
- Entity Type
- Organization
- Organization Name
- Larchmont Home
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 4JS HOME INC.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 1, 2008
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 627 LARCHMONT DR
- City
- Daly City
- State
- California
- ZIP Code
- 94015-3637
- Phone
- (650) 994-3673
Authorized Official
- Name
- MS. YOLANDA RUIZ
- Title
- LICENSEE/CFO
- Phone
- (650) 303-0788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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