Suzi Stefanac DBA Hennelly House
NPI #1578290672 in San Mateo, California
Provider Information
- NPI Number
- 1578290672
- Entity Type
- Organization
- Organization Name
- Suzi Stefanac DBA Hennelly House
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 8, 2022
- Last Updated
- Aug 30, 2022
Practice Location
- Address
- 306 31ST AVE
- City
- San Mateo
- State
- California
- ZIP Code
- 94403-3311
- Phone
- (650) 307-5110
Authorized Official
- Name
- SUZI STEFENAC
- Title
- OWNER
- Phone
- (650) 307-5110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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