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Organization

NORTH VALLEY DEVELOPMENTAL SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY M. GREEN (OWNER/CFO)
(530) 226-0375
Entity
Organization

Contact information

Practice address
20701 GATCHETT LN, COTTONWOOD, CA 96022
(530) 226-0375
(530) 365-1609
Mailing address
PO BOX 492478, REDDING, CA 96049
(530) 226-0375
(530) 365-1609

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
230000203
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LTC60518H
CA
Enumeration date
02/14/2006
Last updated
07/31/2008
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