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C.r.e. Enterprise, Inc.
Intellectual Disabilities Intermediate Care Facility in San Bruno, California
NPI 1386784312

C.r.e. Enterprise, Inc. is a Intellectual Disabilities Intermediate Care Facility based in San Bruno, CA. C.r.e. Enterprise, Inc. practices in San Bruno, CA. The NPI Number for C.r.e. Enterprise, Inc. is 1386784312 and holds a License No. 220000365 (California).

The current practice location address for C.r.e. Enterprise, Inc. is 2601 Cottonwood Dr, San Bruno, CA and can be reached out via phone at 650-303-6813 and via fax at 650-340-0414.

Location: 2601 Cottonwood Dr, San Bruno, CA, 94066-2619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386784312
Provider Name
C.r.e. Enterprise, Inc.
Credential
Provider Entity Type
Organization
Address
2601 Cottonwood Dr, San Bruno, CA, 94066-2619
Phone Number
650-303-6813
Fax Number
650-340-0414
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60835F 01 CA EDS PROVIDER NUMBER CW
institution
Provider Business Practice Location Address Details
Address
2601 Cottonwood Dr
City
San Bruno
State
California
Zip
94066-2619
Phone Number
650-303-6813
Fax Number
650-340-0414
person
Provider Business Mailing Address Details
Address
2601 Cottonwood Dr
City
San Bruno
State
California
Zip
94066-2619
Phone Number
650-303-6813
Fax Number
650-340-0414
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
220000365 (California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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