Harvest House Transitional Residence, INC.
Assisted Living Facility in Vallejo, CA. Organization (NPI-2).
NPI number1710691514
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1710691514
- Entity type
- Organization (NPI-2)
- Legal business name
- Harvest House Transitional Residence, INC.
- Organization subpart
- No
- Enumeration date
- Jan 6, 2023
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 177F00000X | Lodging | – | – | |
| 251V00000X | Voluntary or Charitable | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Other names
- Harvest House Transitional Residence, INC. (Former Legal Business Name)
Practice location
146 Candy DrVallejo, CA 94589-1403
Phone 707-888-4058
Mailing address
Po Box 9063Vallejo, CA 94591-9063
Phone 707-888-4058
Other practice locations
1700 Brisbane Ct
Fairfield, CA 94533-7794
Fairfield, CA 94533-7794
Phone 707-888-4058
107 Dryden Dr
Vallejo, CA 94591-6636
Vallejo, CA 94591-6636
Phone 707-888-4058
Authorized official
Trenny McCollumn
Ceo
8005777358
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All 9 Assisted Living Facility providers in Vallejo · All 3,369 providers in Vallejo
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