Santa Lucia Icf-Ddh in Vallejo - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Santa Lucia Icf-Ddh - NPI 1871774125
Santa Lucia Icf-Ddh is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Vallejo, California. Santa Lucia Icf-Ddh practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Santa Lucia Icf-Ddh is 1871774125. The last update date is 2007-11-15.
Santa Lucia Icf-Ddh's current location address is 11 Marshall Way, Vallejo, California. You can contact this provider via phone number 7077312747 and fax number 7077312748. The mailing address for Santa Lucia Icf-Ddh is 11 Marshall Way, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Santa Lucia Icf-Ddh |
|---|---|
| Address | 11 Marshall Way, Vallejo, California |
| Phone Number | 7077312747 |
| Fax Number | 7077312748 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Padilla Realeza Leonila |
| Telephone Number | 7076553225 |
NPI Number Detail
| NPI Number | 1871774125 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 11 Marshall Way |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945891946 |
| Phone Number | 7077312747 |
| Fax Number | 7077312748 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC61065F | CA | MEDICAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the Santa Lucia Icf-Ddh's 1871774125?
The Santa Lucia Icf-Ddh's NPI (National Provider Identifier) Number is 1871774125. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Santa Lucia Icf-Ddh is located?
The Santa Lucia Icf-Ddh is situated at the following address: 11 Marshall Way, Vallejo, CA, 945891946.
What is Santa Lucia Icf-Ddh's specialized field of practice, and what is the corresponding taxonomy classification code?
The Santa Lucia Icf-Ddh's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
On what date did Santa Lucia Icf-Ddh receive its 1871774125 assignment from the Centers for Medicare & Medicaid Services?
The Santa Lucia Icf-Ddh was assigned its 1871774125 on 2007-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Santa Lucia Icf-Ddh's details last updated?
The information pertaining to the Santa Lucia Icf-Ddh, including its address, specialty, and other details, was most recently updated on 2007-11-15.
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