Organization
GRAND CHALET
Active
Other names
Abilities to Achieve, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAIRE LIZETH HOLCOMB (BOOKKEEPER)
(707) 643-4843
Entity
Organization
Contact information
Practice address
328 KIMBERLY DR, AMERICAN CANYON, CA 94503-1340
(707) 643-4843
Mailing address
328 KIMBERLY DR, AMERICAN CANYON, CA 94503-1340
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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