Provider Demographics
NPI:1609075456
Name:EPISCOPAL COMMUNITY SERVICES OF SAN FRANCISCO
Entity Type:Organization
Organization Name:EPISCOPAL COMMUNITY SERVICES OF SAN FRANCISCO
Other - Org Name:CANON KIP SENIOR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-487-3300
Mailing Address - Street 1:705 NATOMA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2755
Mailing Address - Country:US
Mailing Address - Phone:415-861-6801
Mailing Address - Fax:415-487-3795
Practice Address - Street 1:705 NATOMA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2755
Practice Address - Country:US
Practice Address - Phone:415-861-6801
Practice Address - Fax:415-487-3795
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPISCOPAL COMMUNITY SERVICES OF SAN FRANCISCO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-12
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management