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The Lyons Manor
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Redwood City, California
NPI 1912179805

The Lyons Manor is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Redwood City, CA. The Lyons Manor practices in Redwood City, CA. The NPI Number for The Lyons Manor is 1912179805 and holds a License No. 220000318 (California).

The current practice location address for The Lyons Manor is 1102 Lyons St, Redwood City, CA and can be reached out via phone at 650-299-0738.

Location: 1102 Lyons St, Redwood City, CA, 94061-2263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912179805
Provider Name
The Lyons Manor
Credential
Provider Entity Type
Organization
Address
1102 Lyons St, Redwood City, CA, 94061-2263
Phone Number
650-299-0738
Fax Number
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC 60665F 05 CA
institution
Provider Business Practice Location Address Details
Address
1102 Lyons St
City
Redwood City
State
California
Zip
94061-2263
Phone Number
650-299-0738
Fax Number
person
Provider Business Mailing Address Details
Address
1102 Lyons St
City
Redwood City
State
California
Zip
94061-2263
Phone Number
650-299-0738
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
220000318 (California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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