| NPI | 1104317460 |
|---|---|
| Doing Business As | PARADISE VALLEY ICFDDH INC |
| Entity Type | Organization |
| Authorized Contact | NIMFA PUNZALAN Owner/ Licensee 707-655-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 010000432) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |