BUTLER VALLEY # 2 NPI 1700068111

NPI Information

BUTLER VALLEY # 2 is an intermediate care facility mentally retarded in Eureka, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BUTLER VALLEY # 2 NPI is 1700068111. The provider is registered as an organization entity type.

The provider's business location address is:

3971 F ST
EUREKA, CA
ZIP 95503-003
Phone: (707) 442-7313

The provider's authorized official is Suzette Ott .
The authorized official title is Executive Director and has the following contact phone number (707) 442-2451.

The CLIA number assigned to this NPI record is 05D2265132 - other - government employment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/28/2007.

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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