Organization · Type 2 NPI
Baltic Sea Manor
Physical Disabilities Residential Treatment Facility · Fairfield, CA
NPI number
1922463439
Active
Practice location
5227 Oakridge Dr
Fairfield, CA 94534-6619
Fax (707) 864-1777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 075601459 (CA) |
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 075601569 (CA) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Another provider at this address
About NPI 1922463439
Baltic Sea Manor's National Provider Identifier is 1922463439, issued on Dec 28, 2015. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Fairfield, CA. The record was last updated on Dec 28, 2015.