# THE LYONS MANOR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** YTR HOMES ICF/DD-H INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912179805
- **Legal business name:** YTR HOMES ICF/DD-H INC
- **Authorized official:** MS. YOLANDA TORRES RUIZ (LICENSEE/CFO)
- **Authorized official phone:** (650) 299-0738

## Contact information

- **Practice address:** 1102 LYONS ST, REDWOOD CITY, CA 94061-2263
- **Practice address phone:** (650) 299-0738
- **Mailing address:** 1102 LYONS ST, REDWOOD CITY, CA 94061-2263
- **Mailing address phone:** (650) 299-0738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 220000318 | CA | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 05/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC 60665F | — | CA |