NPI 1407044209
Kathryne Manor
Practice location
- Address
- 840 Kathryne Ave, San Mateo, CA 94401-3125
- Phone
- (650) 348-5393
Authorised official
- Name
- Alicia Paleracio
- Title
- Licensee
- Phone
- (650) 245-2238
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1407044209
- Entity type
- Organization
- NPI issued
- 6 Oct 2007
- Record last updated
- 6 Oct 2007
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.