Organization
C.R.E. ENTERPRISE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN BALATBAT RYAN R.N. (ADMINISTRATOR)
(650) 340-0025
Entity
Organization
Contact information
Practice address
2012 SHOREVIEW AVE, SAN MATEO, CA 94401-3414
(650) 340-0025
(650) 340-0414
Mailing address
2012 SHOREVIEW AVE, SAN MATEO, CA 94401-3414
(650) 340-0025
(650) 340-0414
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
550000752
CA
Other
Enumeration date
03/26/2008
Last updated
05/01/2009
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