Lesters Home Inc.
NPI #1154714616 in San Bruno, California
Provider Information
- NPI Number
- 1154714616
- Entity Type
- Organization
- Organization Name
- Lesters Home Inc.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 9, 2015
- Last Updated
- Mar 9, 2015
Practice Location
- Address
- 3271 SUSAN DR
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-1639
- Phone
- (650) 359-7865
Authorized Official
- Name
- MR. LOUIE BARANGAN
- Title
- QIDP
- Phone
- (650) 388-2507
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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