Bennett Valley Icf Ddh Inc

LBN: Bennett Valley Icf Ddh Inc
Bennett Valley Icf Ddh Inc is an health care organization with primary practice located at 2416 Cactus Avenue , Santa Rosa CA 95405. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Bennett Valley Icf Ddh Inc can be contacted via phone (707) 544-6465, or through Albero, Julie G via phone (650) 544-8999.

Contact Information

Primary practice address
2416 Cactus Avenue Santa Rosa CA 95405
Phone: (707) 544-6465
Fax: (650) 347-8887
Website:
Map and Directions
Authorized official contact:
Name: Albero, Julie G
Phone: (650) 544-8999

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1326198524
LBN Legal business name Bennett Valley Icf Ddh Inc
DBA Doing business as
Authorized official Albero, Julie G
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326198524 NPPES
California Other 55 G072 MEDICAL

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