PENNY GENEVIEVE HARGROVE NPI 1437287828

NPI Information

PENNY GENEVIEVE HARGROVE is a residential treatment facility, intellectual and/or developmental disabilities in Antioch, 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. PENNY GENEVIEVE HARGROVE NPI is 1437287828. The provider is registered as an organization entity type.
The provider Is Doing Business As Wings I.

The provider's business location address is:

2427 DESRYS BLVD
ANTIOCH, CA
ZIP 94509-324
Phone: (925) 776-8386

The provider's authorized official is Penny Hargrove .
The authorized official title is Executive Director and has the following contact phone number (925) 754-5184.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 6/20/2008.

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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