GARY GREEN NPI 1134193600

NPI Information

GARY GREEN is an intermediate care facility mentally retarded in Chico, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. GARY GREEN NPI is 1134193600. The provider is registered as an organization entity type.
The provider Is Doing Business As Nova Developmental Centers (kelsey House).

The provider's business location address is:

13961 KELSEY DR
CHICO, CA
ZIP 95973
Phone: (530) 226-0375
Fax: (530) 365-1609

The provider's authorized official is Gary M Green .
The authorized official title is Licensee/owner and has the following contact phone number (530) 226-0375.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 7/31/2008.

Taxonomy Codes

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Other Identifiers

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