Healthcare Provider Details

I. General information

NPI: 1497890792
Provider Name (Legal Business Name): CIRCLE OF FRIENDS ADULT DAY HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 STEINER ST
SAN FRANCISCO CA
94115-3526
US

IV. Provider business mailing address

1550 STEINER ST
SAN FRANCISCO CA
94115-3526
US

V. Phone/Fax

Practice location:
  • Phone: 415-614-2233
  • Fax: 415-614-0453
Mailing address:
  • Phone: 415-614-2233
  • Fax: 415-614-0453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MARINA KRUPNIK
Title or Position: CEO
Credential:
Phone: 415-614-2233