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Leonila Realeza Padilla, TEACHER
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Vallejo, California
NPI 1508077678

Leonila Realeza Padilla is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Vallejo, CA. Leonila Realeza Padilla practices in Vallejo, CA and has the professional credentials of TEACHER. The NPI Number for Leonila Realeza Padilla is 1508077678 and holds a License No. (California).

The current practice location address for Leonila Realeza Padilla is 11 Marshall Way, Vallejo, CA and can be reached out via phone at 707-731-2747 and via fax at 707-731-2748.

Location: 11 Marshall Way, Vallejo, CA, 94589-1946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508077678
Provider Name
Leonila Realeza Padilla
Credential
TEACHER
Provider Entity Type
Individual
Gender
Female
Address
11 Marshall Way, Vallejo, CA, 94589-1946
Phone Number
707-731-2747
Fax Number
707-731-2748
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC61065F 01 CA MEDICAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
11 Marshall Way
City
Vallejo
State
California
Zip
94589-1946
Phone Number
707-731-2747
Fax Number
707-731-2748
person
Provider Business Mailing Address Details
Address
11 Marshall Way
City
Vallejo
State
California
Zip
94589-1946
Phone Number
707-731-2747
Fax Number
707-731-2748
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(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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