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Miles Center Road House
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Novato, California
NPI 1013115732

Miles Center Road House is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Novato, CA. Miles Center Road House practices in Novato, CA. The NPI Number for Miles Center Road House is 1013115732 and holds a License No. 55G139 (California).

The current practice location address for Miles Center Road House is 1649 Center Rd, Novato, CA and can be reached out via phone at 415-897-3138.

Location: 1649 Center Rd, Novato, CA, 94947-3941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013115732
Provider Name
Miles Center Road House
Credential
Provider Entity Type
Organization
Address
1649 Center Rd, Novato, CA, 94947-3941
Phone Number
415-897-3138
Fax Number
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1649 Center Rd
City
Novato
State
California
Zip
94947-3941
Phone Number
415-897-3138
Fax Number
person
Provider Business Mailing Address Details
Address
1649 Center Rd
City
Novato
State
California
Zip
94947-3941
Phone Number
415-897-3138
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
55G139 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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