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American Star Home 1 Icf/dd-n
Intellectual Disabilities Intermediate Care Facility in San Mateo, California
NPI 1821200783

American Star Home 1 Icf/dd-n is a Intellectual Disabilities Intermediate Care Facility based in Brentwood, CA. American Star Home 1 Icf/dd-n practices in San Mateo, CA. The NPI Number for American Star Home 1 Icf/dd-n is 1821200783 and holds a License No. 220000351 (California).

The current practice location address for American Star Home 1 Icf/dd-n is 1209 Dakota Ave, San Mateo, CA and can be reached out via phone at 650-548-1903 and via fax at 650-548-1991. You can also correspond with American Star Home 1 Icf/dd-n through the mailing address at 2009 FITZGERALD WAY, BRENTWOOD, CA - 94513 (mailing address contact number: 925-813-1979).

Location: 1209 Dakota Ave, San Mateo, CA, 94513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821200783
Provider Name
American Star Home 1 Icf/dd-n
Credential
Provider Entity Type
Organization
Address
1209 Dakota Ave, San Mateo, CA, 94513
Phone Number
650-548-1903
Fax Number
650-548-1991
Provider Enumeration Date
05/04/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1209 Dakota Ave
City
San Mateo
State
California
Zip
94401
Phone Number
650-548-1903
Fax Number
650-548-1991
person
Provider Business Mailing Address Details
Address
1209 Dakota Ave
City
San Mateo
State
California
Zip
94401
Phone Number
650-548-1903
Fax Number
650-548-1991
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
220000351 (California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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