Organization
GREENFIELDS INTERMEDIATE CARE FACILITY
Active
Other names
GREENFIELDS I ICF-DDN
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA REYES RN (ADMINISTRATOR)
(707) 553-2935
Entity
Organization
Contact information
Practice address
219 TORREY PINES CT, VALLEJO, CA 94591-4333
(707) 558-8149
(707) 644-9483
Mailing address
219 TORREY PINES CT, VALLEJO, CA 94591-4333
(707) 558-8149
(707) 644-9483
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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