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Organization
RDD ICF INC
Active
Organization
RDD ICF INC
Active
Other names
Crane House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEYRA TAMBOT SUNGA REGISTER NURSE (PRESIDENT ADMINISTRATOR)
(650) 892-4572
Entity
Organization
Contact information
Practice address
741 ADA ST, SAN MATEO, CA 94401-3101
(650) 548-0381
(650) 548-0381
Mailing address
2893 EL CAMINO REAL, SUITE C, REDWOOD CITY, CA 94061-4001
(650) 216-9960
(650) 216-9455
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
220000350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55G026
LONG TERM CARE
CA
Enumeration date
04/20/2007
Last updated
07/21/2008
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