TYSON HOME is an intermediate care facility mentally retarded in Vallejo, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. TYSON HOME NPI is 1699850016. The provider is registered as an organization entity type.
The provider's business location address is:
624 MINI DR
VALLEJO, CA
ZIP 94589-735
Phone: (707) 553-2798
The provider's authorized official is Elizabeth Kordovez Cuizon .
The authorized official title is Medi-cal Biller and has the following contact phone number (707) 812-0080.
The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/22/2020.