DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

A BROADER LIVING EXPERIENCE

Active Organization

ICF/Individuals with Intellectual Disabilities · SAN RAFAEL, CA

Registration Details

NPI Number
1528278371
Provider Type
Organization
NPI Issued
May 23, 2007 (18.914984236729 yrs)
Last Updated
Jun 13, 2008
License
LTC60124G (CA)

Practice Information

Address
25 DE ANZA WAY
SAN RAFAEL, CA, 949033868
Browse CA providers · Browse ZIP 94903
Phone
4154928087
Fax
4154920347

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.