Organization
DERRY WAY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KWAI KWONG LIU RN (ADMINISTRATOR)
(650) 219-7930
Entity
Organization
Contact information
Practice address
2243 DERRY WAY, SOUTH SAN FRANCISCO, CA 94080-5506
(650) 763-1152
Mailing address
2243 DERRY WAY, SOUTH SAN FRANCISCO, CA 94080-5506
(650) 763-1152
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
415600901
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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