Grand Chalet
NPI #1124209507 in American Canyon, California
Provider Information
- NPI Number
- 1124209507
- Entity Type
- Organization
- Organization Name
- Grand Chalet
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 14, 2007
- Last Updated
- Nov 14, 2007
Practice Location
- Address
- 328 KIMBERLY DR
- City
- American Canyon
- State
- California
- ZIP Code
- 94503-1340
- Phone
- (707) 643-4843
Authorized Official
- Name
- MRS. CLAIRE LIZETH HOLCOMB
- Title
- BOOKKEEPER
- Phone
- (707) 643-4843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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