# A.K. BEAN FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073973129
- **Authorized official:** MS. LAURA ANN KELLY (PROGRAM DIRECTOR)
- **Authorized official phone:** (707) 451-9703

## Contact information

- **Practice address:** 600 NUT TREE RD STE 240, VACAVILLE, CA 95687-4686
- **Practice address phone:** (707) 451-9703
- **Practice address fax:** (707) 446-0471
- **Mailing address:** 600 NUT TREE RD STE 240, VACAVILLE, CA 95687-4686
- **Mailing address phone:** (707) 451-9703
- **Mailing address fax:** (707) 446-0471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/02/2016