NPI 1982876702

Casa Nova Icf/Dd-H

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

Practice location

Address: 3937 Casanova Dr, San Mateo, CA 94403-3614
Phone: (650) 341-9620
Fax: (650) 525-1167

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: 1982876702
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.