Organization
REDENCION A LELCHUK
Active
Other names
LOYOLA ICFDDH
Organization subpart
No
Provider details
NPI number
Authorized official
REDENCION A LELCHUK (OWNER)
(510) 670-0207
Entity
Organization
Contact information
Practice address
27680 LOYOLA AVE, HAYWARD, CA 94545-4263
(510) 670-0207
Mailing address
27680 LOYOLA AVE, HAYWARD, CA 94545-4263
(510) 670-0207
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-G933
MEDICAID
CA
Enumeration date
05/22/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us