1699850016 TYSON HOME
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- TYSON HOME
- Enumeration Date
- October 25, 2006
- Last Update
- August 22, 2020
- Authorized Official
- MS. ELIZABETH KORDOVEZ CUIZON
MEDI-CAL BILLER
Phone: (707) 812-0080
Practice Location
- Address
- 624 MINI DR
VALLEJO, CA 945891735 - Phone
- (707) 553-2798
Mailing Address
- Address
- PO BOX 1425
VALLEJO, CA 945900142 - Phone
- (707) 333-2005
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 |
|---|---|---|---|
| LTC60826F | 05 | CA | N/A |
Frequently Asked Questions
What is TYSON HOME's NPI number?
TYSON HOME's NPI number is 1699850016.
Which doctor has NPI number 1699850016?
The doctor with NPI number 1699850016 is TYSON HOME.
What is TYSON HOME's practice address?
TYSON HOME's practice address is 624 MINI DR, VALLEJO, CA, 945891735.
Which doctor practices at 624 MINI DR, VALLEJO, CA, 945891735?
TYSON HOME practices at 624 MINI DR, VALLEJO, CA, 945891735.
What is TYSON HOME's mailing address?
TYSON HOME's mailing address is PO BOX 1425, VALLEJO, CA, 945900142.
What is TYSON HOME's phone number?
TYSON HOME's phone number is (707) 553-2798.
Who is (707) 553-2798?
(707) 553-2798 is the phone number for TYSON HOME.
What is TYSON HOME's specialty?
TYSON HOME's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is TYSON HOME?
TYSON HOME is a Intellectual Disabilities Intermediate Care Facility.
Is TYSON HOME a Intermediate Care Facility, Intellectual Disabilities?
Yes, TYSON HOME is a Intermediate Care Facility, Intellectual Disabilities.
Is TYSON HOME still practicing?
Yes, TYSON HOME is currently practicing.
Is TYSON HOME accepting new patients?
TYSON HOME may be accepting new patients. Please call their office at (707) 553-2798 to inquire about availability.
Is NPI 1699850016 still active?
Yes, NPI 1699850016 is currently active.
Where does TYSON HOME practice?
TYSON HOME practices in VALLEJO, CA.