Organization · Type 2 NPI

Gary Green

Intellectual Disabilities Intermediate Care Facility · Chico, CA

NPI number 1225002793 Active

Practice location

1494 Arch Way
Chico, CA 95973

Call (530) 226-0375 Map

Fax (530) 365-1609

Mailing address

PO Box 492478
Redding, CA 96049

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X230000294 (CA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1225002793

Gary Green's National Provider Identifier is 1225002793, issued on Feb 14, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Chico, CA. The record was last updated on Jul 31, 2008.