Organization
ADAMS ICF/DD-N
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEYRA SUNGA RN (PRESIDENT)
(650) 892-4572
Entity
Organization
Contact information
Practice address
1778 ADAMS ST, SAN MATEO, CA 94403-1108
(650) 522-8101
(650) 525-0411
Mailing address
2893 EL CAMINO REAL STE C, REDWOOD CITY, CA 94061-4039
(650) 216-9960
(650) 216-9455
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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