Organization
TERRA BELLA COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA MCCORMACK (LICENSEE)
(408) 713-2770
Entity
Organization
Contact information
Practice address
237 SHADOWRUN CT., REDDING, CA 96003
(530) 247-1862
(530) 247-0987
Mailing address
7990 WESTWOOD DRIVE, GILROY, CA 95020
(408) 713-2770
(408) 713-2778
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
230000320
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55G417
—
CA
Enumeration date
05/07/2008
Last updated
04/09/2014
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