Organization
L AND N INC
Active
Other names
ANA S ICF DDN
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA G PAGADOR (OWNER ADMINISTRATOR)
(650) 922-9920
Entity
Organization
Contact information
Practice address
655 COMMERCIAL AVE, SOUTH SAN FRANCISCO, CA 94080-3423
(650) 922-9920
Mailing address
655 COMMERCIAL AVE, SOUTH SAN FRANCISCO, CA 94080-3423
(650) 922-9920
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
220000329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05G942
MEDICAID NUMBER
CA
Enumeration date
05/25/2007
Last updated
08/01/2008
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