NPI 1730351545

James Court Manor

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

Practice location

Address: 1316 James CT, San Mateo, CA 94401-3177
Phone: (650) 347-7619

Authorised official

Name: Yolanda Ruiz
Title: Licensee/Cfo
Phone: (650) 347-7619

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 220000373 (CA)

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

Registry record

NPI: 1730351545
Entity type: Organization
NPI issued: 1 Apr 2008
Record last updated: 14 May 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.