Paradise Valley Icf-Ddh
LBN: Paradise Valley Icf-Ddh
Paradise Valley Icf-Ddh is an health care organization with primary practice located at 3313 El Pinole Way , Fairfield CA 94533-7208. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Paradise Valley Icf-Ddh can be contacted via phone (707) 425-2202, or through Padilla, Nimfa Realeza via phone (707) 425-2202.
Contact Information
Primary practice address
3313 El Pinole Way
Fairfield CA 94533-7208
Phone: (707) 425-2202
Fax: (707) 425-6060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 010000432 | California |
Profile Details
| NPI number | 1730360082 |
|---|---|
| LBN Legal business name | Paradise Valley Icf-Ddh |
| DBA Doing business as | |
| Authorized official | Padilla, Nimfa Realeza |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2007 |
| Last updated | Nov 15th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730360082 | NPPES |
| California | Other | LTC61010F | MEDICAL PROVIDER NUMBER |
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