Santa Lucia Icf-Ddh

LBN: Santa Lucia Icf-Ddh
Santa Lucia Icf-Ddh is an health care organization with primary practice located at 11 Marshall Way , Vallejo CA 94589-1946. 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. Santa Lucia Icf-Ddh can be contacted via phone (707) 731-2747, or through Padilla, Leonila Realeza via phone (707) 655-3225.

Contact Information

Primary practice address
11 Marshall Way Vallejo CA 94589-1946
Phone: (707) 731-2747
Fax: (707) 731-2748
Website:
Map and Directions
Authorized official contact:
Name: Padilla, Leonila Realeza
Phone: (707) 655-3225

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X California

Profile Details

NPI number 1871774125
LBN Legal business name Santa Lucia Icf-Ddh
DBA Doing business as
Authorized official Padilla, Leonila 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871774125 NPPES
California Other LTC61065F MEDICAL PROVIDER NUMBER

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