Organization · Type 2 NPI
North Valley Developmental Services Inc
Intellectual Disabilities Intermediate Care Facility · Shasta Lake City, CA
NPI number
1598739062
Active
Practice location
Walker Lane
Shasta Lake City, CA 96019
Fax (530) 365-1609
Mailing address
PO Box 492478
Redding, CA 96049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 230000310 (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1598739062
North Valley Developmental Services Inc's National Provider Identifier is 1598739062, issued on Feb 14, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Shasta Lake City, CA. The record was last updated on Aug 8, 2008.