1265596373 PETALUMA ICF DDH INC
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- PETALUMA ICF DDH INC
- Enumeration Date
- December 21, 2006
- Last Update
- August 22, 2020
- Authorized Official
- MR. RICHARD ALBERT HIRE
LICENSEE
Phone: (707) 894-3686
Practice Location
- Address
- 805 PETALUMA AVE
SONOMA, CA 95476 - Phone
- (707) 938-9195
- Fax
- (707) 939-3519
Mailing Address
- Address
- 226 MERCED DRIVE
SAN BRUNO, CA 94066 - Phone
- (650) 872-3438
- Fax
- (650) 872-6738
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55G416 | 01 | CA | MEDI CAL |
Frequently Asked Questions
What is PETALUMA ICF DDH INC's NPI number?
PETALUMA ICF DDH INC's NPI number is 1265596373.
Which doctor has NPI number 1265596373?
The doctor with NPI number 1265596373 is PETALUMA ICF DDH INC.
What is PETALUMA ICF DDH INC's practice address?
PETALUMA ICF DDH INC's practice address is 805 PETALUMA AVE, SONOMA, CA, 95476.
Which doctor practices at 805 PETALUMA AVE, SONOMA, CA, 95476?
PETALUMA ICF DDH INC practices at 805 PETALUMA AVE, SONOMA, CA, 95476.
What is PETALUMA ICF DDH INC's mailing address?
PETALUMA ICF DDH INC's mailing address is 226 MERCED DRIVE, SAN BRUNO, CA, 94066.
What is PETALUMA ICF DDH INC's phone number?
PETALUMA ICF DDH INC's phone number is (707) 938-9195.
Who is (707) 938-9195?
(707) 938-9195 is the phone number for PETALUMA ICF DDH INC.
What is PETALUMA ICF DDH INC's specialty?
PETALUMA ICF DDH INC's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is PETALUMA ICF DDH INC?
PETALUMA ICF DDH INC is a Intellectual Disabilities Intermediate Care Facility.
Is PETALUMA ICF DDH INC a Intermediate Care Facility, Intellectual Disabilities?
Yes, PETALUMA ICF DDH INC is a Intermediate Care Facility, Intellectual Disabilities.
Is PETALUMA ICF DDH INC still practicing?
Yes, PETALUMA ICF DDH INC is currently practicing.
Is PETALUMA ICF DDH INC accepting new patients?
PETALUMA ICF DDH INC may be accepting new patients. Please call their office at (707) 938-9195 to inquire about availability.
Is NPI 1265596373 still active?
Yes, NPI 1265596373 is currently active.
Where does PETALUMA ICF DDH INC practice?
PETALUMA ICF DDH INC practices in SONOMA, CA.