Penny Genevieve Hargrove
NPI #1437287828 in Antioch, California
Provider Information
- NPI Number
- 1437287828
- Entity Type
- Organization
- Organization Name
- Penny Genevieve Hargrove
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- 2427 DESRYS BLVD
- City
- Antioch
- State
- California
- ZIP Code
- 94509-4324
- Phone
- (925) 776-8386
Authorized Official
- Name
- PENNY HARGROVE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (925) 754-5184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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