Petaluma Icf Ddh Inc

  • 1265596373 NPI Number
  • |
  • Actived: 17 years ago
  • |
Petaluma Icf Ddh Inc is a health care provider based in Sonoma, CA. The NPI Number is 1265596373 and it has been active since 17 years ago. The specialty is Intermediate Care Facility, Mentally Retarded, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Intermediate Care Facility, Mentally Retarded services, Petaluma Icf Ddh Inc is an excellent option. We are here to help you get the care you need.

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Overview of Petaluma Icf Ddh Inc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/21/2006
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 315P00000X
  • Specialty: Intermediate Care Facility, Mentally Retarded
  • License Number: unknow
  • License State: CA

Provider Mailing Address

  • Address: 226 Merced Drive
    San Bruno, CA 94066
  • Phone: 650-872-3438
  • Fax: 650-872-6738

Provider Practice Location

  • Address: 805 Petaluma Ave
    Sonoma, CA 95476
  • Phone: 707-938-9195
  • Fax: 707-939-3519

Authorized Official

  • Name: MR. Richard Albert Hire
  • Position/Title: Licensee
  • Telephone Number: 707-894-3686

Scope of Practice

  • Taxonomy Code: 315P00000X
  • Specialty: Intermediate Care Facility, Mentally Retarded
  • License Number:
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 55G416
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: MEDI CAL

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Petaluma Icf Ddh Inc?
  • A: The npi number for Petaluma Icf Ddh Inc is 1265596373.
  • Q: What are Petaluma Icf Ddh Inc's specialties?
  • A: Petaluma Icf Ddh Inc's specialties are Intermediate Care Facility, Mentally Retarded and different specialities.
  • Q: Where is Petaluma Icf Ddh Inc business practice location?
  • A: Petaluma Icf Ddh Inc business practice location is 805 Petaluma Ave, Sonoma, CA 95476.
  • Q: How to contact Petaluma Icf Ddh Inc?
  • A: You can contact Petaluma Icf Ddh Inc via 707-938-9195.
  • Q: What is the authorized official for Petaluma Icf Ddh Inc?
  • A: The authorized office name is MR. Richard Albert Hire with position/title is Licensee and you can reach the authorized official via phone number 7078943686.
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