# GREENFIELDS INTEMEDIATE CARE FACILITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1992915953
- **Authorized official:** MRS. TERESITA REYES RN (ADMINISTRATOR)
- **Authorized official phone:** (707) 553-2935

## Contact information

- **Practice address:** 100 MORGAN CT, VALLEJO, CA 94591-8452
- **Practice address phone:** (707) 643-3948
- **Practice address fax:** (707) 643-4618
- **Mailing address:** 100 MORGAN CT, VALLEJO, CA 94591-8452
- **Mailing address phone:** (707) 643-3948
- **Mailing address fax:** (707) 643-4618

## 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:** 08/15/2007