Organization · Type 2 NPI

Paradise Valley Icf-Ddh

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

NPI number 1730360082 Active

Practice location

3313 El Pinole Way
Fairfield, CA 94533-7208

Fax (707) 425-6060

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X010000432 (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.

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About NPI 1730360082

Paradise Valley Icf-Ddh's National Provider Identifier is 1730360082, issued on Nov 15, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fairfield, CA. The record was last updated on Nov 15, 2007.