Penny Genevieve Hargrove

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1437287828

Penny Genevieve Hargrove is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Antioch, California. Licensed in California. Registered with an NPI since 2007.

Licensed in: CA
In the registry since: 2007

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Practice location Address checks out

2427 Desrys Blvd
Antioch, CA 94509-4324
Phone: (925) 776-8386

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

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X · Licence LTC60761F (CA)

Record details

NPI number	1437287828
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Penny Hargrove — Executive Director · (925) 754-5184
Other names	Wings I
NPI enumerated	February 28, 2007
Last updated in NPPES	June 20, 2008
Mailing address	P.O. Box 1295, Antioch, CA 94509-0129