Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
A BROADER LIVING EXPERIENCE
Active OrganizationA BROADER LIVING EXPERIENCE is a ICF/Individuals with Intellectual Disabilities organization located in SAN RAFAEL, California. NPI 1528278371 is currently active in the NPPES registry. Verify at CMS.
ICF/Individuals with Intellectual Disabilities · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1528278371
- Provider Type
- Organization
- NPI Issued
- May 23, 2007 (19.257075535555 yrs)
- Last Updated
- Jun 13, 2008
- License
-
LTC60124G (CA)
Practice Information
- Address
-
25 DE ANZA WAYSAN RAFAEL, CA, 949033868Browse CA providers · Browse ZIP 94903
- Phone
- 4154928087
- Fax
- 4154920347
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Other ICF/Individuals with Intellectual Disabilities Organizations in SAN RAFAEL, CA
| Name | NPI |
|---|---|
| LIFEHOUSE INE | 1528240785 |
| SUNRISE II | 1528225455 |
| NOVA INC | 1932366895 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.