Organization
INFINITY HOMES ICF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DRATI RN (MANAGING MEMBER)
(877) 877-5558
Entity
Organization
Contact information
Practice address
792 KELLY LN, RIVERSIDE, CA 92501-1363
(877) 877-5558
Mailing address
792 KELLY LN, RIVERSIDE, CA 92501-1363
(877) 877-5558
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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