NPI 1073710976

Hale Kokua, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility San Mateo, CA

Practice location

Address: 1618 S Grant St, San Mateo, CA 94402-2657
Phone: (650) 578-1183
Mailing address: 1433 Dakota Avenue, San Mateo, CA 94401

Authorised official

Name: Pureza A. Ganio
Title: Ceo
Phone: (650) 520-5545

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 220000232 (CA)

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

Registry record

NPI: 1073710976
Entity type: Organization
NPI issued: 2 Jul 2007
Record last updated: 21 Jan 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.