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Organization

L AND N INC

Active
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Organization

L AND N INC

Active
Other names
ANA S ICF DDN
Organization subpart
No

Provider details

NPI number
Authorized official
URSULA G PAGADOR (OWNER ADMINISTRATOR)
(650) 922-9920
Entity
Organization

Contact information

Practice address
655 COMMERCIAL AVE, SOUTH SAN FRANCISCO, CA 94080-3423
(650) 922-9920
Mailing address
655 COMMERCIAL AVE, SOUTH SAN FRANCISCO, CA 94080-3423
(650) 922-9920

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
220000329
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05G942
MEDICAID NUMBER
CA
Enumeration date
05/25/2007
Last updated
08/01/2008
About Stedi
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  • EDI platform