Organization
STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
Active
Other names
Sierra Vista Community Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY KINSER (DEPUTY DIRECTOR)
(916) 654-1963
Entity
Organization
Contact information
Practice address
1251 STABLER LN, YUBA CITY, CA 95993-2616
(530) 822-7000
(530) 822-3289
Mailing address
PO BOX 944202, 1600 9TH STREET, SACRAMENTO, CA 94244-2020
(916) 654-2431
(916) 654-3186
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
150000488
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
150000488
CA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
150000488
CA
333600000X
Pharmacy
150000488
CA
Other
Enumeration date
05/12/2006
Last updated
01/06/2009
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