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Lesters Home Inc.
Intellectual Disabilities Intermediate Care Facility in San Bruno, California
NPI 1962627885

Lesters Home Inc. is a Intellectual Disabilities Intermediate Care Facility based in San Bruno, CA. Lesters Home Inc. practices in San Bruno, CA. The NPI Number for Lesters Home Inc. is 1962627885 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 650-273-8181 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
1962627885
Provider Name
Lesters Home Inc.
Credential
Provider Entity Type
Organization
Address
3271 Susan Dr, San Bruno, CA, 94066-1639
Phone Number
650-273-8181
Fax Number
650-359-7865
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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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
650-273-8181
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
650-273-8181
Fax Number
650-359-7865
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
220000483 (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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