Organization
RDD ICF INC
Active
Other names
CRANE HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEYRA T SUNGA (OWNER)
(650) 580-2983
Entity
Organization
Contact information
Practice address
724 CRANE AVE, FOSTER CITY, CA 94404-1313
(650) 580-2983
Mailing address
724 CRANE AVE, FOSTER CITY, CA 94404-1313
(650) 580-2983
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-G026
MEDICAID
CA
Enumeration date
08/27/2007
Last updated
08/31/2007
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