Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paradise Valley Icf Ddh Inc

Organization Mental Illness Intermediate Care Facility · NPI 1104317460

Paradise Valley Icf Ddh Inc is a Mental Illness Intermediate Care Facility in Fairfield, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3313 El Pinole Way
Fairfield, CA 94533-7208
Phone: (707) 655-3225
Fax: (707) 652-5168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X
Mental Illness Intermediate Care Facility Taxonomy 310500000X · Licence 010000432 (CA)

Record details

NPI number1104317460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nimfa Punzalan — Owner/ Licensee · (707) 655-3225
Other names Paradise Valley Icfddh Inc
NPI enumeratedMay 22, 2018
Last updated in NPPESMay 22, 2018
Mailing address3313 El Pinole Way, Fairfield, CA 94533-7208

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