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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 RN (ADMINISTRATOR)
(650) 892-4572
Entity
Organization
Contact information
Practice address
741 ADA ST, SAN MATEO, CA 94401-3101
(650) 216-9455
Mailing address
2893 EL CAMINO REAL STE C, REDWOOD CITY, CA 94061-4039
(650) 216-9960
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
220000350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55G026
—
CA
Enumeration date
05/21/2009
Last updated
05/21/2009
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