Organization · Type 2 NPI
Stonehave
Intellectual Disabilities Intermediate Care Facility · Novato, CA
NPI number
1770740623
Active
Practice location
2 Stonehaven Ct
Novato, CA 94947-2039
Fax (415) 472-5739
Mailing address
100 Smith Ranch Rd, Suite 309
San Rafael, CA 94903-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0100407 (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 Novato
About NPI 1770740623
Stonehave's National Provider Identifier is 1770740623, issued on May 19, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Novato, CA. The record was last updated on May 19, 2008.