Organization
JAMES COURT MANOR
Active
Parent organization
YTR HOMES ICF/DD-H INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
YTR HOMES ICF/DD-H INC.
Authorized official
MS. YOLANDA RUIZ (LICENSEE/CFO)
(650) 347-7619
Entity
Organization
Contact information
Practice address
1316 JAMES CT, SAN MATEO, CA 94401-3177
(650) 347-7619
Mailing address
1316 JAMES CT, SAN MATEO, CA 94401-3177
(650) 347-7619
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
220000373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC 60856F
—
CA
Enumeration date
04/01/2008
Last updated
05/14/2008
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