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Santa Lucia Ii Icf Ddh Incorporated
Nursing Facility/Intermediate Care Facility in Vallejo, California
NPI 1912336710

Santa Lucia Ii Icf Ddh Incorporated is a Nursing Facility/Intermediate Care Facility based in Vallejo, CA. Santa Lucia Ii Icf Ddh Incorporated practices in Vallejo, CA. The NPI Number for Santa Lucia Ii Icf Ddh Incorporated is 1912336710 and holds a License No. 550001496 (California).

The current practice location address for Santa Lucia Ii Icf Ddh Incorporated is 722 Lassen St, Vallejo, CA and can be reached out via phone at 707-655-3225.

Location: 722 Lassen St, Vallejo, CA, 94591-5467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912336710
Provider Name
Santa Lucia Ii Icf Ddh Incorporated
Credential
Provider Entity Type
Organization
Address
722 Lassen St, Vallejo, CA, 94591-5467
Phone Number
707-655-3225
Fax Number
Provider Enumeration Date
11/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
722 Lassen St
City
Vallejo
State
California
Zip
94591-5467
Phone Number
707-655-3225
Fax Number
person
Provider Business Mailing Address Details
Address
722 Lassen St
City
Vallejo
State
California
Zip
94591-5467
Phone Number
707-655-3225
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
550001496 (California)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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