Petaluma Icf Ddh Inc
Petaluma Icf Ddh Inc is an Intellectual Disabilities Intermediate Care Facility in Sonoma, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
805 Petaluma AveSonoma, CA 95476
Phone: (707) 938-9195
Fax: (707) 939-3519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X (CA) |
|---|
Record details
| NPI number | 1265596373 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Hire — Licensee · (707) 894-3686 |
| NPI enumerated | December 21, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 226 Merced Drive, San Bruno, CA 94066 |
Other providers in Sonoma
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Genevie Dream Home, Inc
17355 Buena Vista Ave, Sonoma, CA 95476-3493 · (707) 935-9411