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North Valley Developmental Services Inc
Intellectual Disabilities Intermediate Care Facility in Shasta Lake City, California
NPI 1598739062

North Valley Developmental Services Inc is a Intellectual Disabilities Intermediate Care Facility based in Redding, CA. North Valley Developmental Services Inc practices in Shasta Lake City, CA. The NPI Number for North Valley Developmental Services Inc is 1598739062 and holds a License No. 230000310 (California).

The current practice location address for North Valley Developmental Services Inc is Walker Lane, Shasta Lake City, CA and can be reached out via phone at 530-226-0375 and via fax at 530-365-1609.

Location: Walker Lane, Shasta Lake City, CA, 96049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598739062
Provider Name
North Valley Developmental Services Inc
Credential
Provider Entity Type
Organization
Address
Walker Lane, Shasta Lake City, CA, 96049
Phone Number
530-226-0375
Fax Number
530-365-1609
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60907G 05 CA
institution
Provider Business Practice Location Address Details
Address
Walker Lane
City
Shasta Lake City
State
California
Zip
96019
Phone Number
530-226-0375
Fax Number
530-365-1609
person
Provider Business Mailing Address Details
Address
Walker Lane
City
Shasta Lake City
State
California
Zip
96019
Phone Number
530-226-0375
Fax Number
530-365-1609
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
230000310 (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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