Organization · Type 2 NPI
Connie's Icf Dd-H
Intellectual Disabilities Intermediate Care Facility · San Ramon, CA
NPI number
1700917515
Active
Practice location
237 Kent Pl
San Ramon, CA 94583-3728
Fax (925) 829-1938
Mailing address
1117 Tanglewood Way
San Mateo, CA 94403-4919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 140000703 (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in San Ramon
About NPI 1700917515
Connie's Icf Dd-H's National Provider Identifier is 1700917515, issued on Mar 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in San Ramon, CA. The record was last updated on Feb 19, 2008.