Organization · Type 2 NPI
Penny Genevieve Hargrove
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Antioch, CA
Practice location
2427 Desrys Blvd
Antioch, CA 94509-4324
Mailing address
P.o. Box 1295
Antioch, CA 94509-0129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | LTC60761F (CA) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1437287828
Penny Genevieve Hargrove's National Provider Identifier is 1437287828, issued on Feb 28, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Antioch, CA. The record was last updated on Jun 20, 2008.