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Organization
HILLSBOROUGH MANOR INC.
Active
Organization
HILLSBOROUGH MANOR INC.
Active
Other names
SUNRISE ICF/DD-H
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARIE TAMBOT VERIDIANO PHARMACIST (PRESIDENT)
(650) 580-2983
Entity
Organization
Contact information
Practice address
1776 ADAMS ST, SAN MATEO, CA 94403-1108
(650) 578-1091
(650) 216-9455
Mailing address
2893 EL CAMINO REAL, STE. C, REDWOOD CITY, CA 94061
(650) 216-9960
(650) 216-9455
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
315P00000X
CA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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