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Paradise Valley Icf Ddh Inc
Intellectual Disabilities Intermediate Care Facility in Fairfield, California
NPI 1104317460

Paradise Valley Icf Ddh Inc is a Intellectual Disabilities Intermediate Care Facility based in Fairfield, CA. Paradise Valley Icf Ddh Inc practices in Fairfield, CA. The NPI Number for Paradise Valley Icf Ddh Inc is 1104317460 and holds a License No. 010000432 (California).

The current practice location address for Paradise Valley Icf Ddh Inc is 3313 El Pinole Way, Fairfield, CA and can be reached out via phone at 707-655-3225 and via fax at 707-652-5168.

Location: 3313 El Pinole Way, Fairfield, CA, 94533-7208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104317460
Provider Name
Paradise Valley Icf Ddh Inc
Credential
Provider Entity Type
Organization
Address
3313 El Pinole Way, Fairfield, CA, 94533-7208
Phone Number
707-655-3225
Fax Number
707-652-5168
Provider Enumeration Date
05/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3313 El Pinole Way
City
Fairfield
State
California
Zip
94533-7208
Phone Number
707-655-3225
Fax Number
707-652-5168
person
Provider Business Mailing Address Details
Address
3313 El Pinole Way
City
Fairfield
State
California
Zip
94533-7208
Phone Number
707-655-3225
Fax Number
707-652-5168
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
()
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
010000432 (California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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