Organization · Type 2 NPI
Hale Kokua, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · San Mateo, CA
Practice location
1618 S Grant St
San Mateo, CA 94402-2657
Mailing address
1433 Dakota Avenue
San Mateo, CA 94401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 220000232 (CA) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1073710976
Hale Kokua, Inc.'s National Provider Identifier is 1073710976, issued on Jul 2, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in San Mateo, CA. The record was last updated on Jan 21, 2015.