B & M Inc. - Fleetwood
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · San Bruno, CA
NPI 1013131671 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013131671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- B & M INC. - FLEETWOOD
- Practice address
- 2796 Fleetwood Dr
San Bruno, CA 94066-2627 - Phone
- (650) 273-8181
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Marissa Legarda
- Title
- President Ceo
- Phone
- (650) 273-8181
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Yes |
Addresses
Primary practice location
2796 Fleetwood Dr
San Bruno, CA 94066-2627
Mailing address
52 Pointe View PL
South San Francisco, CA 94080-1673
Phone (650) 273-8181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60947F | Medicaid | CA |
Other providers in San Bruno, CA
- Desirea Cyrstal Avery
- Amber Avila
- Kathia Marie Avila
- Elizabeth Avina
- Donia Awadallah
- Sesilia Baca
- Rebeca Cristina Baculpo
- Joshua Bader
- Christian Badilla
- Alison Bagneschi
All providers in San Bruno, CA · Intellectual Disabilities Intermediate Care Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.