Miles Rae Lane House
Miles Rae Lane House is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Novato, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
858 Rae LnNovato, CA 94947-2049
Phone: (415) 897-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 05G790 (CA) |
|---|
Record details
| NPI number | 1225236953 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nancy Lloyd — General Partner · (415) 897-3138 |
| NPI enumerated | July 3, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1649 Center Rd, Novato, CA 94947-3941 |
Other providers in Novato
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Miles Center Road House
1649 Center Rd, Novato, CA 94947-3941 · (415) 897-3138