Organization
TWIN RESIDENTIAL ICF-DDH
Active
Other names
TWIN RESIDENTIAL ICF-DDH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA GAZZINGAN ALMONIA (LICENSEE)
(707) 342-2590
Entity
Organization
Contact information
Practice address
101 HAWKESBURY WAY, VALLEJO, CA 94591-4337
(707) 342-2590
Mailing address
101 HAWKESBURY WAY, VALLEJO, CA 94591-4337
(707) 342-2590
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
55-G530
CA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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