NOVA INC 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. NOVA INC NPI is 1932366895. The provider is registered as an organization entity type.
The provider's business location address is:
393 NOVA ALBION WAY
SAN RAFAEL, CA
ZIP 94903-607
Phone: (415) 472-2373
Fax: (415) 472-5739
The provider's authorized official is Merlyn Teague .
The authorized official title is Director Of Admin/finacial and has the following contact phone number (415) 472-2373.
The CLIA number assigned to this NPI record is 05D2120315 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.