NPI 1386784312

C.R.E. Enterprise, INC.

Organisation Intellectual Disabilities Intermediate Care Facility San Bruno, CA

Practice location

Address: 2601 Cottonwood Dr, San Bruno, CA 94066-2619
Phone: (650) 303-6813
Fax: (650) 340-0414
Mailing address: 2601 Cottonwood Dr., San Bruno, CA 94066-2619

Authorised official

Name: Evelyn Balatbat Ryan
Title: Provider
Phone: (650) 340-0025

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 220000365 (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1386784312
Entity type: Organization
NPI issued: 7 Feb 2007
Record last updated: 1 May 2009

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.