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
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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