Bennett Valley Icf Ddh Inc

NPI 1326198524 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1326198524
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JULIE G JULIE
Position DIRECTOR
Phone (707) 544-6465
Fax (650) 347-8887
Practice Location
2416 CACTUS AVENUE
SANTA ROSA CA, 95405, US
Phone (707) 544-6465
Fax (650) 347-8887
Business Location
2040 SEA CLIFF WAY
SAN BRUNO CA, 94066, US
Phone (650) 544-8999
Fax (650) 347-8887
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
Remove 1326198524 NPI Number
 

According to our database, Bennett Valley Icf Ddh Inc NPI is 1326198524, taxonomy code is 315P00000X Bennett Valley Icf Ddh Inc physically located at 2416 Cactus Avenue, Santa Rosa CA, 95405. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1326198524 NPI number is provided on an as is basis without warranty of any kind. 1326198524 is maintained by the National Plan & Provider Enumeration System. The contents of Bennett Valley Icf Ddh Inc are for informational purposes only.