Organization
GREENFIELDS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESITA CABAB REYES RN (ADMINISTRATOR)
(707) 553-2935
Entity
Organization
Contact information
Practice address
116 MORGAN CT, VALLEJO, CA 94591-8452
(707) 553-2935
(707) 553-2993
Mailing address
116 MORGAN CT, VALLEJO, CA 94591-8452
(707) 553-2935
(707) 553-2993
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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