Gary Green
Gary Green is an Intellectual Disabilities Intermediate Care Facility in Chico, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
65 Tom Polk CirChico, CA 95973
Phone: (530) 226-0375
Fax: (530) 365-1609
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 230000277 (CA) |
|---|
Record details
| NPI number | 1316911886 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Green — Licensee/Owner · (530) 226-0375 |
| Other names | Nova Developmental Centers (Tom Polk House) |
| NPI enumerated | February 14, 2006 |
| Last updated in NPPES | July 31, 2008 |
| Mailing address | Po Box 492478, Redding, CA 96049 |
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