1134193600 GARY GREEN
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- GARY GREEN
- Enumeration Date
- February 14, 2006
- Last Update
- July 31, 2008
- Authorized Official
- MR. GARY M GREEN
LICENSEE/OWNER
Phone: (530) 226-0375
Practice Location
- Address
- 13961 KELSEY DR
CHICO, CA 95973 - Phone
- (530) 226-0375
- Fax
- (530) 365-1609
Mailing Address
- Address
- PO BOX 492478
REDDING, CA 96049 - Phone
- (530) 226-0375
- Fax
- (530) 365-1609
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 230000203 | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60997F | 05 | CA | N/A |
Frequently Asked Questions
What is GARY GREEN's NPI number?
GARY GREEN's NPI number is 1134193600.
Which doctor has NPI number 1134193600?
The doctor with NPI number 1134193600 is GARY GREEN.
What is GARY GREEN's practice address?
GARY GREEN's practice address is 13961 KELSEY DR, CHICO, CA, 95973.
Which doctor practices at 13961 KELSEY DR, CHICO, CA, 95973?
GARY GREEN practices at 13961 KELSEY DR, CHICO, CA, 95973.
What is GARY GREEN's mailing address?
GARY GREEN's mailing address is PO BOX 492478, REDDING, CA, 96049.
What is GARY GREEN's phone number?
GARY GREEN's phone number is (530) 226-0375.
Who is (530) 226-0375?
(530) 226-0375 is the phone number for GARY GREEN.
What is GARY GREEN's specialty?
GARY GREEN's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is GARY GREEN?
GARY GREEN is a Intellectual Disabilities Intermediate Care Facility.
Is GARY GREEN a Intermediate Care Facility, Intellectual Disabilities?
Yes, GARY GREEN is a Intermediate Care Facility, Intellectual Disabilities.
Is GARY GREEN still practicing?
Yes, GARY GREEN is currently practicing.
Is GARY GREEN accepting new patients?
GARY GREEN may be accepting new patients. Please call their office at (530) 226-0375 to inquire about availability.
Is NPI 1134193600 still active?
Yes, NPI 1134193600 is currently active.
Where does GARY GREEN practice?
GARY GREEN practices in CHICO, CA.