# GREENFIELDS INTERMEDIATE CARE FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREENFIELDS II ICF-DDN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235349291
- **Authorized official:** TERESITA REYES RN (ADMINISTRATOR)
- **Authorized official phone:** (707) 553-2935

## Contact information

- **Practice address:** 2673 VISTA BONITA, FAIRFIELD, CA 94534-1729
- **Practice address phone:** (707) 429-9774
- **Practice address fax:** (707) 429-9781
- **Mailing address:** 2673 VISTA BONITA, FAIRFIELD, CA 94534-1729
- **Mailing address phone:** (707) 429-9774
- **Mailing address fax:** (707) 429-9781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020