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SELF-HELP FOR THE ELDERLY NPI 1225240344


NPI Information

NPI: 1225240344
Provider Name: SELF-HELP FOR THE ELDERLY

Other Name: ADULT DAY SERVICES

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D0990465

Address:
408 22ND AVE
SAN FRANCISCO, CA
ZIP 94121
Phone: (415) 666-7556
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SELF-HELP FOR THE ELDERLY is an adult day care clinic center in San Francisco, CA. SELF-HELP FOR THE ELDERLY NPI is 1225240344. The provider is registered as an organization entity type.
The provider Other Name Is Adult Day Services.

The provider's business location address is:

408 22ND AVE
SAN FRANCISCO, CA
ZIP 94121-014
Phone: (415) 666-7556
Fax: (415) 666-1899

The provider's authorized official is Gracia Wiarda .
The authorized official title is Program Director and has the following contact phone number (415) 677-7565.

The CLIA number assigned to this NPI record is 05D0990465 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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