Provider Demographics
NPI:1154656932
Name:STEELE-CORBETT GROUP HOMES, INC.
Entity Type:Organization
Organization Name:STEELE-CORBETT GROUP HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORBETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-202-4856
Mailing Address - Street 1:1346 THE ALAMEDA STE 7
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-5006
Mailing Address - Country:US
Mailing Address - Phone:408-202-4856
Mailing Address - Fax:408-904-5511
Practice Address - Street 1:429 SKIPSTONE CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95136-3906
Practice Address - Country:US
Practice Address - Phone:408-202-4856
Practice Address - Fax:408-904-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30804251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health