Organization
THE LYONS 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 TORRES RUIZ (LICENSEE/CFO)
(650) 299-0738
Entity
Organization
Contact information
Practice address
1102 LYONS ST, REDWOOD CITY, CA 94061-2263
(650) 299-0738
Mailing address
1102 LYONS ST, REDWOOD CITY, CA 94061-2263
(650) 299-0738
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
220000318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC 60665F
—
CA
Enumeration date
03/31/2008
Last updated
05/14/2008
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