The Lyons Manor in Redwood City - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
The Lyons Manor - NPI 1912179805
The Lyons Manor is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Redwood City, California. The Lyons Manor practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for The Lyons Manor is 1912179805. The last update date is 2008-05-14.
The Lyons Manor's current location address is 1102 Lyons St, Redwood City, California. You can contact this provider via phone number 6502990738. The mailing address for The Lyons Manor is 1102 Lyons St, Redwood City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Lyons Manor |
|---|---|
| Address | 1102 Lyons St, Redwood City, California |
| Phone Number | 6502990738 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE/C |
|---|---|
| Authorized Official Name | Ruiz Torres Yolanda |
| Telephone Number | 6502990738 |
NPI Number Detail
| NPI Number | 1912179805 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 1102 Lyons St |
|---|---|
| City | Redwood City |
| State | California (CA) |
| Post Code | 940612263 |
| Phone Number | 6502990738 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 220000318 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC 60665F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to The Lyons Manor by the Centers for Medicare & Medicaid Services?
The The Lyons Manor has been assigned the NPI (National Provider Identifier) 1912179805 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where The Lyons Manor's facilities are situated?
The facilities of The Lyons Manor are physically located at the following address: 1102 Lyons St, Redwood City, CA, 940612263.
What is The Lyons Manor's area of expertise and its corresponding taxonomy classification?
The The Lyons Manor's field of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the The Lyons Manor receive its 1912179805 assignment from the Centers for Medicare & Medicaid Services?
The The Lyons Manor was assigned its 1912179805 by the Centers for Medicare & Medicaid Services on 2008-03-31.
When was the information related to The Lyons Manor most recently updated or refreshed?
The details pertaining to the The Lyons Manor, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-14.