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Hale Kokua, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Mateo, California
NPI 1073710976

Hale Kokua, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in San Mateo, CA. Hale Kokua, Inc. practices in San Mateo, CA. The NPI Number for Hale Kokua, Inc. is 1073710976 and holds a License No. 220000232 (California).

The current practice location address for Hale Kokua, Inc. is 1618 S Grant St, San Mateo, CA and can be reached out via phone at 650-578-1183.

Location: 1618 S Grant St, San Mateo, CA, 94401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073710976
Provider Name
Hale Kokua, Inc.
Credential
Provider Entity Type
Organization
Address
1618 S Grant St, San Mateo, CA, 94401
Phone Number
650-578-1183
Fax Number
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60789H 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1618 S Grant St
City
San Mateo
State
California
Zip
94402-2657
Phone Number
650-578-1183
Fax Number
person
Provider Business Mailing Address Details
Address
1618 S Grant St
City
San Mateo
State
California
Zip
94402-2657
Phone Number
650-578-1183
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
220000232 (California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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