Hale Kokua, Inc.
NPI #1174720072 in San Mateo, California
Provider Information
- NPI Number
- 1174720072
- Entity Type
- Organization
- Organization Name
- Hale Kokua, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 2, 2007
- Last Updated
- Jan 21, 2015
Practice Location
- Address
- 516 OCEAN VIEW AVE
- City
- San Mateo
- State
- California
- ZIP Code
- 94401-3029
- Phone
- (650) 347-1164
Authorized Official
- Name
- MISS PUREZA A. GANIO
- Title
- LICENSEE
- Phone
- (650) 520-5545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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