Rural Haven
Intermediate Care Facility, Intellectual Disabilities in Fillmore, CA. Organization (NPI-2).
NPI number1245201284
StatusActive
Last updated in NPPESAug 18, 2008
Details
- NPI
- 1245201284
- Entity type
- Organization (NPI-2)
- Legal business name
- Rural Haven
- Organization subpart
- No
- Enumeration date
- Jan 28, 2006
- Last updated
- Aug 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 050000507 | CA | Yes |
Practice location
431 Saratoga StFillmore, CA 93015-1531
Phone 805-524-4003 · Fax 805-525-4003
Mailing address
715 E Santa Paula StSanta Paula, CA 93060-2063
Phone 805-525-0305 · Fax 805-525-7776
Authorized official
Kathleen Elbanowski
Ceo/Cfo
8055250305
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