Healthcare Provider Details

I. General information

NPI: 1386825503
Provider Name (Legal Business Name): BAYVIEW HUNTERS POINT MULTIPURPOSE SENIOR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 LA SALLE AVE
SAN FRANCISCO CA
94124-2414
US

IV. Provider business mailing address

1250 LA SALLE AVE
SAN FRANCISCO CA
94124-2414
US

V. Phone/Fax

Practice location:
  • Phone: 415-826-4774
  • Fax: 415-826-0178
Mailing address:
  • Phone: 415-826-4774
  • Fax: 415-826-0178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY DAVIS
Title or Position: DIRECTOR
Credential:
Phone: 415-826-4774