Organization · Type 2 NPI

Formative Care, Inc.

Assisted Living Facility · Santa Rosa, CA

NPI number 1164897930 Active

Practice location

606 Humboldt St
Santa Rosa, CA 95404-4219

Call (707) 579-2735 Map

Fax (707) 579-4145

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X496801719 (CA)

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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About NPI 1164897930

Formative Care, Inc.'s National Provider Identifier is 1164897930, issued on Dec 4, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 4, 2015.