| NPI | 1619842820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE HARTZOG Owner 415-619-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |