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Nova Inc
Intellectual Disabilities Intermediate Care Facility in San Rafael, California
NPI 1932366895

Nova Inc is a Intellectual Disabilities Intermediate Care Facility based in San Rafael, CA. Nova Inc practices in San Rafael, CA. The NPI Number for Nova Inc is 1932366895 and holds a License No. 0100408 (California).

The current practice location address for Nova Inc is 393 Nova Albion Way, San Rafael, CA and can be reached out via phone at 415-472-2373 and via fax at 415-472-5739.

Location: 393 Nova Albion Way, San Rafael, CA, 94903-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932366895
Provider Name
Nova Inc
Credential
Provider Entity Type
Organization
Address
393 Nova Albion Way, San Rafael, CA, 94903-1900
Phone Number
415-472-2373
Fax Number
415-472-5739
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6422425 05 CA
LTC60509F 05 CA
institution
Provider Business Practice Location Address Details
Address
393 Nova Albion Way
City
San Rafael
State
California
Zip
94903-3607
Phone Number
415-472-2373
Fax Number
415-472-5739
person
Provider Business Mailing Address Details
Address
393 Nova Albion Way
City
San Rafael
State
California
Zip
94903-3607
Phone Number
415-472-2373
Fax Number
415-472-5739
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0100408 (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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