| NPI | 1538224241 |
|---|---|
| Doing Business As | SHANNON ICF DDH HOME |
| Entity Type | Organization |
| Authorized Contact | HERMIE V YEMA Administrator 650-757-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA LTC60632G) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |