Individual provider · Type 1 NPI

Leonila Realeza Padilla, TEACHER

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Vallejo, CA

NPI number 1508077678 Active

Practice location

11 Marshall Way
Vallejo, CA 94589-1946

Fax (707) 731-2748

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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.

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About NPI 1508077678

Leonila Realeza Padilla, TEACHER's National Provider Identifier is 1508077678, issued on May 24, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Vallejo, CA. The record was last updated on Nov 15, 2007.