Organization · Type 2 NPI
Miles Rae Lane House
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Novato, CA
Practice location
858 Rae Ln
Novato, CA 94947-2049
Mailing address
1649 Center Rd
Novato, CA 94947-3941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 05G790 (CA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Novato
About NPI 1225236953
Miles Rae Lane House's National Provider Identifier is 1225236953, issued on Jul 3, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Novato, CA. The record was last updated on Aug 22, 2020.