Organization
C & C'S CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL GUMBAM (LICENSED/ADMINISTRATOR)
(650) 228-3777
Entity
Organization
Contact information
Practice address
2700 OAKMONT DR., SAN BRUNO, CA 94066
(650) 228-3777
(650) 871-8290
Mailing address
2700 OAKMONT DR., SAN BRUNO, CA 94066
(650) 228-3777
(650) 871-8290
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
415600425
CA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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