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Blackwell Homes
Developmental Disabilities Clinic/Center in Santa Rosa, California
NPI 1700117082

Blackwell Homes is a Developmental Disabilities Clinic/Center based in Santa Rosa, CA and is specialized in Developmental Disabilities. Blackwell Homes practices in Santa Rosa, CA. The NPI Number for Blackwell Homes is 1700117082 and holds a License No. 496800053 (California).

The current practice location address for Blackwell Homes is 1646 S Wright Rd, Santa Rosa, CA and can be reached out via phone at 707-575-5387 and via fax at 707-570-2647.

Location: 1646 S Wright Rd, Santa Rosa, CA, 95407-1578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700117082
Provider Name
Blackwell Homes
Credential
Provider Entity Type
Organization
Address
1646 S Wright Rd, Santa Rosa, CA, 95407-1578
Phone Number
707-575-5387
Fax Number
707-570-2647
Provider Enumeration Date
01/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1646 S Wright Rd
City
Santa Rosa
State
California
Zip
95407-7318
Phone Number
707-575-5387
Fax Number
707-570-2647
person
Provider Business Mailing Address Details
Address
1646 S Wright Rd
City
Santa Rosa
State
California
Zip
95407-7318
Phone Number
707-575-5387
Fax Number
707-570-2647
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
496800053 (California)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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