Belle Icf
NPI #1679770499 in Antioch, California
Provider Information
- NPI Number
- 1679770499
- Entity Type
- Organization
- Organization Name
- Belle Icf
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1747 SANGER PEAK WAY
- City
- Antioch
- State
- California
- ZIP Code
- 94531-9128
- Phone
- (925) 383-4512
Authorized Official
- Name
- DOMINADOR DELACRUZ PAJARITO, B.A., M.A.
- Title
- LICENSEE
- Phone
- (925) 383-4512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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