Organization · Type 2 NPI
Nova Inc
Intellectual Disabilities Intermediate Care Facility · San Rafael, CA
NPI number
1932366895
Active
Practice location
393 Nova Albion Way
San Rafael, CA 94903-3607
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 | 0100408 (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 San Rafael
About NPI 1932366895
Nova Inc's National Provider Identifier is 1932366895, issued on May 19, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in San Rafael, CA. The record was last updated on May 19, 2008.