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Mrs. Marcelina Bautista
Adult Care Home Facility in San Bruno, California
NPI 1861791725

Marcelina Bautista is an Adult Care Home Facility based in San Bruno, CA and is specialized in Adult Care Home. Marcelina Bautista practices in San Bruno, CA. The NPI Number for Marcelina Bautista is 1861791725 and holds a License No. 415600504 (California).

The current practice location address for Marcelina Bautista is 188 San Felipe Ave, San Bruno, CA and can be reached out via phone at 650-952-4398 and via fax at 650-583-6120.

Location: 188 San Felipe Ave, San Bruno, CA, 94066-5501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861791725
Provider Name
Marcelina Bautista
Credential
Provider Entity Type
Individual
Gender
Female
Address
188 San Felipe Ave, San Bruno, CA, 94066-5501
Phone Number
650-952-4398
Fax Number
650-583-6120
Provider Enumeration Date
03/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
188 San Felipe Ave
City
San Bruno
State
California
Zip
94066-5501
Phone Number
650-952-4398
Fax Number
650-583-6120
person
Provider Business Mailing Address Details
Address
188 San Felipe Ave
City
San Bruno
State
California
Zip
94066-5501
Phone Number
650-952-4398
Fax Number
650-583-6120
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
415600504 (California)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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