NPI 1043482862

Larchmont Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Daly City, CA

Practice location

Address: 627 Larchmont Dr, Daly City, CA 94015-3637
Phone: (650) 994-3673

Authorised official

Name: Yolanda Ruiz
Title: Licensee/Cfo
Phone: (650) 303-0788

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1043482862
Entity type: Organization
NPI issued: 1 Apr 2008
Record last updated: 1 Apr 2008

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.