Organization · Type 2 NPI
My Home Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Santa Rosa, CA
Practice location
1639 Manzanita Avenue
Santa Rosa, CA 95404
Fax (707) 539-7435
Mailing address
1983 Mt Olive Dr
Santa Rosa, CA 95404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None 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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Santa Rosa
About NPI 1770620734
My Home Inc's National Provider Identifier is 1770620734, issued on Jan 31, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 22, 2020.