GREENFIELDS ICF-DDN NPI 1114330438

NPI Information

GREENFIELDS ICF-DDN is a residential treatment facility, intellectual and/or developmental disabilities in Vallejo, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. GREENFIELDS ICF-DDN NPI is 1114330438. The provider is registered as an organization entity type.
The provider Is Doing Business As Greenfields Iii.

The provider's business location address is:

100 MORGAN CT
VALLEJO, CA
ZIP 94591-452
Phone: (707) 553-2935
Fax: (707) 552-1267

The provider's authorized official is Teresita Reyes .
The authorized official title is Administrator and has the following contact phone number (707) 553-2935.

The enumeration date for this NPI number is 6/4/2014 and was last updated on 6/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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