Lena's House
NPI #1932238383 in Hollister, California
Provider Information
- NPI Number
- 1932238383
- Entity Type
- Organization
- Organization Name
- Lena's House
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 3, 2007
- Last Updated
- Apr 13, 2012
Practice Location
- Address
- 1075 MERIDIAN ST
- City
- Hollister
- State
- California
- ZIP Code
- 95023-4144
- Phone
- (831) 638-2137
Authorized Official
- Name
- EUGENE ANATOL KONDRAKHIN
- Title
- ADMINISTRATOR
- Phone
- (831) 578-2217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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