Penny Genevieve Hargrove in Antioch - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Penny Genevieve Hargrove - NPI 1437287828

Penny Genevieve Hargrove is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Antioch, California. Penny Genevieve Hargrove practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Penny Genevieve Hargrove is 1437287828. The last update date is 2008-06-20.

Penny Genevieve Hargrove's current location address is P.o. Box 1295, Antioch, California. You can contact this provider via phone number 9257768386. The mailing address for Penny Genevieve Hargrove is P.o. Box 1295, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Penny Genevieve Hargrove
Address P.o. Box 1295, Antioch, California
Phone Number 9257768386
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Hargrove Penny
Telephone Number 9257545184

NPI Number Detail

NPI Number 1437287828
Provider Enumeration Date 2007-02-28
Last Updated Date 2008-06-20

Provider Mailing Address Detail

Address P.o. Box 1295
City Antioch
State California (CA)
Post Code 945090129
Phone Number 9257768386
Fax Number

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No LTC60761F
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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FAQs about Penny Genevieve Hargrove

What is the unique identifier code issued to Penny Genevieve Hargrove by the Centers for Medicare & Medicaid Services?

The Penny Genevieve Hargrove has been assigned the NPI (National Provider Identifier) 1437287828. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Penny Genevieve Hargrove is located?

The Penny Genevieve Hargrove is situated at the following address: P.O. Box 1295, Antioch, CA, 945090129.

What is the area of specialization for Penny Genevieve Hargrove, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Penny Genevieve Hargrove is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.

On what date was the 1437287828 assigned to Penny Genevieve Hargrove?

The Penny Genevieve Hargrove was issued its 1437287828 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Penny Genevieve Hargrove most recently updated or refreshed?

The details pertaining to the Penny Genevieve Hargrove, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-20.

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