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Casa Nova Icf/dd-h
Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Mateo, California
NPI 1982876702

Casa Nova Icf/dd-h is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in San Mateo, CA. Casa Nova Icf/dd-h practices in San Mateo, CA. The NPI Number for Casa Nova Icf/dd-h is 1982876702 and holds a License No. (California).

The current practice location address for Casa Nova Icf/dd-h is 3937 Casanova Dr, San Mateo, CA and can be reached out via phone at 650-341-9620 and via fax at 650-525-1167.

Location: 3937 Casanova Dr, San Mateo, CA, 94403-3614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982876702
Provider Name
Casa Nova Icf/dd-h
Credential
Provider Entity Type
Organization
Address
3937 Casanova Dr, San Mateo, CA, 94403-3614
Phone Number
650-341-9620
Fax Number
650-525-1167
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC 60829F 05 CA
institution
Provider Business Practice Location Address Details
Address
3937 Casanova Dr
City
San Mateo
State
California
Zip
94403-3614
Phone Number
650-341-9620
Fax Number
650-525-1167
person
Provider Business Mailing Address Details
Address
3937 Casanova Dr
City
San Mateo
State
California
Zip
94403-3614
Phone Number
650-341-9620
Fax Number
650-525-1167
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(California)
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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