Organization · Type 2 NPI

Cornerstone Living Skills

Intellectual Disabilities Intermediate Care Facility · Santa Rosa, CA

NPI number 1790996320 Active

Practice location

4740 Badger Rd
Santa Rosa, CA 95409-2634

Mailing address

3649 W Beechwood Ave, Ste 106
Fresno, CA 93711-0693

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1790996320

Cornerstone Living Skills's National Provider Identifier is 1790996320, issued on May 25, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 22, 2020.