A BROADER LIVING EXPERIENCE
Nursing at De Anza Way, San Rafael, CA

License number
California LTC60124G
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: TERRY JONES
Title: BOARD SECRETARY TREASURER
Phone: (415) 492-8087
Address
Address
25 De Anza Way, San Rafael, CA 94903
National Provider ID: 1528278371
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about A BROADER LIVING EXPERIENCE at bizstanding.com

A BROADER LIVING EXPERIENCE

25 Deanza Way, San Rafael, CA 94903

Industry:
Nonprofit Organization Management, Residential Care for Developmentally Disabled Adults
Registration:
Aug 15, 1990
Site:
www.broaderliving.org
Description:
A BROADER LIVING EXPERIENCE is a Non-profit Organization Management company located in 25 DE ANZA WAY, SAN RAFAEL, CA, United States.
State ID:
C1515168
Business type:
Articles of Incorporation
President:
Laverne L. Prager (President)
Agent:
Terry Jones,San Rafael, CA 94903 (Physical)
Categories:
Residential Care Facilities

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