# TWIN RESIDENTIAL ICF-DDH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TWIN RESIDENTIAL ICF-DDH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780884965
- **Authorized official:** MRS. SONIA GAZZINGAN ALMONIA (LICENSEE)
- **Authorized official phone:** (707) 342-2590

## Contact information

- **Practice address:** 101 HAWKESBURY WAY, VALLEJO, CA 94591-4337
- **Practice address phone:** (707) 342-2590
- **Mailing address:** 101 HAWKESBURY WAY, VALLEJO, CA 94591-4337
- **Mailing address phone:** (707) 342-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 55-G530 | CA | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 07/24/2007