Organization · Type 2 NPI

Interface Rehab, Inc.

Assisted Living Facility · Healdsburg, CA

NPI number 1053178244 Active

Practice location

1801 Boxheart Dr
Healdsburg, CA 95448-3269

Call (707) 756-5039 Map

Mailing address

774 S Placentia Ave Ste 200
Placentia, CA 92870-6838

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1053178244
Entity type: Organization (Type 2)
Issued: Mar 4, 2024
Last updated: Mar 7, 2024
Status: Active
Subpart: Yes of Interface Rehab, Inc.

Other names

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Interface Rehab, Inc. at Enso Village · other name
Interface Rehab, Inc. at Enso Village · other name

Authorized official

Mr. Ashwin Shah
Mis Manager
(714) 646-8308

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About NPI 1053178244

Interface Rehab, Inc.'s National Provider Identifier is 1053178244, issued on Mar 4, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Healdsburg, CA. The record was last updated on Mar 7, 2024.