BENNETT VALLEY ICF DDH INC is an intermediate care facility mentally retarded in Santa Rosa, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BENNETT VALLEY ICF DDH INC NPI is 1326198524. The provider is registered as an organization entity type.
The provider's business location address is:
2416 CACTUS AVENUE
SANTA ROSA, CA
ZIP 95405
Phone: (707) 544-6465
Fax: (650) 347-8887
The provider's authorized official is Julie G Albero .
The authorized official title is Director and has the following contact phone number (650) 544-8999.
The CLIA number assigned to this NPI record is 05D0998299 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.