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Organization
DEL MONTE ICF INC
Active
Organization
DEL MONTE ICF INC
Active
Other names
DEL MONTE ICF DDN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARIE TAMBOT VERIDIANO PHARMACIST (PRESIDENT)
(650) 580-2983
Entity
Organization
Contact information
Practice address
2893 EL CAMINO REAL, SUITE C, REDWOOD CITY, CA 94061-4001
(650) 216-9960
Mailing address
210 DEL MONTE AVE, SOUTH SAN FRANCISCO, CA 94080-2220
(650) 876-0549
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55G095
LONG TERM CARE
CA
Enumeration date
04/16/2007
Last updated
08/22/2020
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