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Greenfields Icf-ddn
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairfield, California
NPI 1124431689

Greenfields Icf-ddn is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Vallejo, CA. Greenfields Icf-ddn practices in Fairfield, CA. The NPI Number for Greenfields Icf-ddn is 1124431689 and holds a License No. 010000345 (California).

The current practice location address for Greenfields Icf-ddn is 2673 Vista Bonita, Fairfield, CA and can be reached out via phone at 707-553-2935 and via fax at 707-552-1267.

Location: 2673 Vista Bonita, Fairfield, CA, 94590-5983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124431689
Provider Name
Greenfields Icf-ddn
Credential
Provider Entity Type
Organization
Address
2673 Vista Bonita, Fairfield, CA, 94590-5983
Phone Number
707-553-2935
Fax Number
707-552-1267
Provider Enumeration Date
06/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2673 Vista Bonita
City
Fairfield
State
California
Zip
94534-1729
Phone Number
707-553-2935
Fax Number
707-552-1267
person
Provider Business Mailing Address Details
Address
2673 Vista Bonita
City
Fairfield
State
California
Zip
94534-1729
Phone Number
707-553-2935
Fax Number
707-552-1267
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
010000345 (California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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