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My Home Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Santa Rosa, California
NPI 1770620734

My Home Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Santa Rosa, CA. My Home Inc practices in Santa Rosa, CA. The NPI Number for My Home Inc is 1770620734 and holds a License No. (California).

The current practice location address for My Home Inc is 1639 Manzanita Avenue, Santa Rosa, CA and can be reached out via phone at 707-539-7435 and via fax at 707-539-7435.

Location: 1639 Manzanita Avenue, Santa Rosa, CA, 95404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770620734
Provider Name
My Home Inc
Credential
Provider Entity Type
Organization
Address
1639 Manzanita Avenue, Santa Rosa, CA, 95404
Phone Number
707-539-7435
Fax Number
707-539-7435
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60758F 05 CA
institution
Provider Business Practice Location Address Details
Address
1639 Manzanita Avenue
City
Santa Rosa
State
California
Zip
95404
Phone Number
707-539-7435
Fax Number
707-539-7435
person
Provider Business Mailing Address Details
Address
1639 Manzanita Avenue
City
Santa Rosa
State
California
Zip
95404
Phone Number
707-539-7435
Fax Number
707-539-7435
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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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