Kathryne Manor
NPI #1407044209 in San Mateo, California
Provider Information
- NPI Number
- 1407044209
- Entity Type
- Organization
- Organization Name
- Kathryne Manor
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 6, 2007
- Last Updated
- Oct 6, 2007
Practice Location
- Address
- 840 KATHRYNE AVE
- City
- San Mateo
- State
- California
- ZIP Code
- 94401-3125
- Phone
- (650) 348-5393
Authorized Official
- Name
- ALICIA PALERACIO
- Title
- LICENSEE
- Phone
- (650) 245-2238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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