Anton'S Home, INC.
Intermediate Care Facility, Intellectual Disabilities in San Bruno, CA. Organization (NPI-2).
NPI number1164081089
StatusActive
Last updated in NPPESJun 13, 2019
Details
- NPI
- 1164081089
- Entity type
- Organization (NPI-2)
- Legal business name
- Anton'S Home, INC.
- Organization subpart
- No
- Enumeration date
- Jun 13, 2019
- Last updated
- Jun 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
2598 Olympic Drive,San Bruno, CA 94066-1251
Phone 650-553-5009 · Fax 850-878-3131
Mailing address
4358 Callan Blvd.Daly City, CA 94015-4404
Phone 415-987-3401 · Fax 650-878-3131
Authorized official
Estelita Santiago Evangelista
President
4159873401
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