| Homerise - Essex House | |
|
684 Ellis St San Francisco CA 94109-8090 | |
| (415) 852-5300 | |
| Not Available |
| Full Name | Homerise - Essex House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 684 Ellis St, San Francisco, California |
| Authorized Official Name and Position | Janea Jackson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4158525310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homerise - Essex House Po Box 237 San Francisco CA 94104-0237 Ph: (415) 852-5300 | Homerise - Essex House 684 Ellis St San Francisco CA 94109-8090 Ph: (415) 852-5300 |
| NPI Number | 1134421621 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134421621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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