NPI 1023408929

Adams Icf/Dd-N

Organisation Nursing Facility/Intermediate Care Facility San Mateo, CA

Practice location

Address: 1778 Adams St, San Mateo, CA 94403-1108
Phone: (650) 522-8101
Fax: (650) 525-0411
Mailing address: 2893 El Camino Real STE C, Redwood City, CA 94061-4039

Authorised official

Name: Deyra Sunga
Title: President
Phone: (650) 892-4572

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X

Other Nursing Facility/Intermediate Care Facility providers in California →

Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1023408929
Entity type: Organization
NPI issued: 29 Jan 2015
Record last updated: 29 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.