A BROADER LIVING EXPERIENCE is an intermediate care facility mentally retarded in San Rafael, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. A BROADER LIVING EXPERIENCE NPI is 1528278371. The provider is registered as an organization entity type.
The provider Other Name Is Able.
The provider's business location address is:
25 DE ANZA WAY
SAN RAFAEL, CA
ZIP 94903-868
Phone: (415) 492-8087
Fax: (415) 492-0347
The provider's authorized official is Terry Jones .
The authorized official title is Board Secretary Treasurer and has the following contact phone number (415) 492-8087.
The enumeration date for this NPI number is 5/23/2007 and was last updated on 6/13/2008.