| NPI | 1982085981 |
|---|---|
| Doing Business As | KATHRYNE MANOR ICF/DD-H |
| Entity Type | Organization |
| Authorized Contact | AVELINA Q ALFONSO Owner/President 650-255-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 220000364) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |