NPI 1003208281
Bay Horizon Icf-Ddh
Practice location
- Address
- 516 Ocean View Ave, San Mateo, CA 94401-3029
- Phone
- (650) 347-1164
- Fax
- (650) 348-2795
- Mailing address
- 1565 Royal Ave, San Mateo, CA 94401-3432
Authorised official
- Name
- Pureza Aguzar Ganio
- Title
- Ceo
- Phone
- (650) 520-5545
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1003208281
- Entity type
- Organization
- NPI issued
- 25 Feb 2015
- Record last updated
- 25 Feb 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.