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Lesters Home Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Bruno, California
NPI 1154714616

Lesters Home Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in San Bruno, CA. Lesters Home Inc. practices in San Bruno, CA. The NPI Number for Lesters Home Inc. is 1154714616 and holds a License No. 220000483 (California).

The current practice location address for Lesters Home Inc. is 3271 Susan Dr, San Bruno, CA and can be reached out via phone at 650-359-7865 and via fax at 650-359-7865.

Location: 3271 Susan Dr, San Bruno, CA, 94066-1639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154714616
Provider Name
Lesters Home Inc.
Credential
Provider Entity Type
Organization
Address
3271 Susan Dr, San Bruno, CA, 94066-1639
Phone Number
650-359-7865
Fax Number
650-359-7865
Provider Enumeration Date
03/09/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
LTC61017F 05 CA
institution
Provider Business Practice Location Address Details
Address
3271 Susan Dr
City
San Bruno
State
California
Zip
94066-1639
Phone Number
650-359-7865
Fax Number
650-359-7865
person
Provider Business Mailing Address Details
Address
3271 Susan Dr
City
San Bruno
State
California
Zip
94066-1639
Phone Number
650-359-7865
Fax Number
650-359-7865
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
220000483 (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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