Organization · Type 2 NPI
Hale Kokua, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · San Mateo, CA
Practice location
516 Ocean View Ave
San Mateo, CA 94401-3029
Mailing address
1433 Dakota Avenue
San Mateo, CA 94401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 220000319 (CA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in San Mateo
About NPI 1174720072
Hale Kokua, Inc.'s National Provider Identifier is 1174720072, issued on Jul 2, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in San Mateo, CA. The record was last updated on Jan 21, 2015.