location
search-icon
institution
Petaluma Icf Ddh Inc
Intellectual Disabilities Intermediate Care Facility in Sonoma, California
NPI 1265596373

Petaluma Icf Ddh Inc is a Intellectual Disabilities Intermediate Care Facility based in San Bruno, CA. Petaluma Icf Ddh Inc practices in Sonoma, CA. The NPI Number for Petaluma Icf Ddh Inc is 1265596373 and holds a License No. (California).

The current practice location address for Petaluma Icf Ddh Inc is 805 Petaluma Ave, Sonoma, CA and can be reached out via phone at 707-938-9195 and via fax at 707-939-3519.

Location: 805 Petaluma Ave, Sonoma, CA, 94066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265596373
Provider Name
Petaluma Icf Ddh Inc
Credential
Provider Entity Type
Organization
Address
805 Petaluma Ave, Sonoma, CA, 94066
Phone Number
707-938-9195
Fax Number
707-939-3519
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
55G416 01 CA MEDI CAL
institution
Provider Business Practice Location Address Details
Address
805 Petaluma Ave
City
Sonoma
State
California
Zip
95476
Phone Number
707-938-9195
Fax Number
707-939-3519
person
Provider Business Mailing Address Details
Address
805 Petaluma Ave
City
Sonoma
State
California
Zip
95476
Phone Number
707-938-9195
Fax Number
707-939-3519
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.