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Penny Genevieve Hargrove
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Antioch, California
NPI 1437287828

Penny Genevieve Hargrove is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Antioch, CA. Penny Genevieve Hargrove practices in Antioch, CA. The NPI Number for Penny Genevieve Hargrove is 1437287828 and holds a License No. LTC60761F (California).

The current practice location address for Penny Genevieve Hargrove is 2427 Desrys Blvd, Antioch, CA and can be reached out via phone at 925-776-8386.

Location: 2427 Desrys Blvd, Antioch, CA, 94509-0129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437287828
Provider Name
Penny Genevieve Hargrove
Credential
Provider Entity Type
Organization
Address
2427 Desrys Blvd, Antioch, CA, 94509-0129
Phone Number
925-776-8386
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2427 Desrys Blvd
City
Antioch
State
California
Zip
94509-4324
Phone Number
925-776-8386
Fax Number
person
Provider Business Mailing Address Details
Address
2427 Desrys Blvd
City
Antioch
State
California
Zip
94509-4324
Phone Number
925-776-8386
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
LTC60761F (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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