Organization
ADVOCATES FOR INDEPENDENT LIVING
Active
Other names
Adults In Community Transition
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE FRANE (BUSINESS ADMINISTRATOR)
(707) 279-8822
Entity
Organization
Contact information
Practice address
4795 GADDY LN, KELSEYVILLE, CA 95451-7407
(707) 279-8822
(707) 279-8322
Mailing address
2520 HARTLEY ST, LAKEPORT, CA 95453-6932
(707) 263-5230
(707) 263-3927
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC6982619
MEDI CAL
CA
Enumeration date
11/12/2006
Last updated
08/22/2020
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