Organization · Type 2 NPI

Bennett Valley Icf DDH Inc

Intellectual Disabilities Intermediate Care Facility · Santa Rosa, CA

NPI number 1326198524 Active

Practice location

2416 Cactus Avenue
Santa Rosa, CA 95405

Call (707) 544-6465 Map

Fax (650) 347-8887

Mailing address

2040 Sea Cliff Way
San Bruno, CA 94066

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

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About NPI 1326198524

Bennett Valley Icf DDH Inc's National Provider Identifier is 1326198524, issued on Jan 11, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 22, 2020.