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C.r.e. Enterprise. Inc,
Intellectual Disabilities Intermediate Care Facility in South San Francisco, California
NPI 1891822219

C.r.e. Enterprise. Inc, is a Intellectual Disabilities Intermediate Care Facility based in South San Francisco, CA. C.r.e. Enterprise. Inc, practices in South San Francisco, CA. The NPI Number for C.r.e. Enterprise. Inc, is 1891822219 and holds a License No. (California).

The current practice location address for C.r.e. Enterprise. Inc, is 138 Rosewood Way, South San Francisco, CA and can be reached out via phone at 650-340-0025 and via fax at 650-340-0414.

Location: 138 Rosewood Way, South San Francisco, CA, 94080-5846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891822219
Provider Name
C.r.e. Enterprise. Inc,
Credential
Provider Entity Type
Organization
Address
138 Rosewood Way, South San Francisco, CA, 94080-5846
Phone Number
650-340-0025
Fax Number
650-340-0414
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC61016F 01 CA PROVIDER #
institution
Provider Business Practice Location Address Details
Address
138 Rosewood Way
City
South San Francisco
State
California
Zip
94080-5846
Phone Number
650-340-0025
Fax Number
650-340-0414
person
Provider Business Mailing Address Details
Address
138 Rosewood Way
City
South San Francisco
State
California
Zip
94080-5846
Phone Number
650-340-0025
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.
(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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