Organization
BUTLER VALLEY # 2
Active
Parent organization
BUTLER VALLEY INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUTLER VALLEY INCORPORATED
Authorized official
SUZETTE OTT (EXECUTIVE DIRECTOR)
(707) 442-2451
Entity
Organization
Contact information
Practice address
3971 F ST, EUREKA, CA 95503-6003
(707) 442-7313
Mailing address
5245 VANCE ST, EUREKA, CA 95503-6350
(707) 442-2451
(707) 445-1887
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LTC60133F
CA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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