institution
Bay Horizon Icf-ddh
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in San Mateo, California
NPI 1003208281

Bay Horizon Icf-ddh is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in San Mateo, CA. Bay Horizon Icf-ddh practices in San Mateo, CA. The NPI Number for Bay Horizon Icf-ddh is 1003208281 and holds a License No. 220000319 (California).

The current practice location address for Bay Horizon Icf-ddh is 516 Ocean View Ave, San Mateo, CA and can be reached out via phone at 650-347-1164 and via fax at 650-348-2795. You can also correspond with Bay Horizon Icf-ddh through the mailing address at 1565 ROYAL AVE, SAN MATEO, CA - 94401-3432 (mailing address contact number: 650-347-1164).

Location: 516 Ocean View Ave, San Mateo, CA, 94401-3432
institution
Provider Profile Details
NPI Number
1003208281
Provider Name
Bay Horizon Icf-ddh
Credential
Provider Entity Type
Organization
Address
516 Ocean View Ave, San Mateo, CA, 94401-3432
Phone Number
650-347-1164
Fax Number
650-348-2795
Provider Enumeration Date
02/25/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60671G 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
516 Ocean View Ave
City
State
Zip
94401-3029
Phone Number
650-347-1164
Fax Number
650-348-2795
person
Provider Business Mailing Address Details
Address
516 Ocean View Ave
City
State
Zip
94401-3029
Phone Number
650-347-1164
Fax Number
650-348-2795
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
220000319 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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