SANTA LUCIA II ICF-DDH NPI 1952617870

NPI Information

SANTA LUCIA II ICF-DDH is an intermediate care facility mental illness in Vallejo, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. SANTA LUCIA II ICF-DDH NPI is 1952617870. The provider is registered as an organization entity type.

The provider's business location address is:

722 LASSEN ST
VALLEJO, CA
ZIP 94591-467
Phone: (707) 554-1975
Fax: (707) 648-1549

The provider's authorized official is Leonila Realeza Padilla .
The authorized official title is Administrator and has the following contact phone number (707) 655-3225.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 8/30/2010.

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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