Miles Rae Lane House

LBN: Miles Rae Lane House
Miles Rae Lane House is an health care organization with primary practice located at 858 Rae Ln , Novato CA 94947-2049. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Miles Rae Lane House can be contacted via phone (415) 897-3138, or through Lloyd, Nancy Dale via phone (415) 897-3138.

Contact Information

Primary practice address
858 Rae Ln Novato CA 94947-2049
Phone: (415) 897-3138
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lloyd, Nancy Dale
Phone: (415) 897-3138

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 05G790 California

Profile Details

NPI number 1225236953
LBN Legal business name Miles Rae Lane House
DBA Doing business as
Authorized official Lloyd, Nancy Dale
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 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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