Organization
GREENFIELDS INTEMEDIATE CARE FACILITY
Active
Other names
GREENFIELDS III ICF-DDN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESITA REYES RN (ADMINISTRATOR)
(707) 553-2935
Entity
Organization
Contact information
Practice address
100 MORGAN CT, VALLEJO, CA 94591-8452
(707) 643-3948
(707) 643-4618
Mailing address
100 MORGAN CT, VALLEJO, CA 94591-8452
(707) 643-3948
(707) 643-4618
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
05/22/2007
Last updated
08/15/2007
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