| NPI | 1609082478 |
|---|---|
| Doing Business As | BRADFORD HOME, ICF DDN |
| Entity Type | Organization |
| Authorized Contact | ESTELITA EVANGELISTA Administrator 415-987-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 220000495) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |