Grand Chalet

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · American Canyon, CA

NPI 1124209507 · NPPES record last updated Nov 14, 2007

Key facts

NPI
1124209507
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
GRAND CHALET
Practice address
328 Kimberly Dr
American Canyon, CA 94503-1340
Phone
(707) 643-4843
NPI assigned
Nov 14, 2007
Organization subpart
No

Authorized official

Name
Mrs. Claire Lizeth Holcomb
Title
Bookkeeper
Phone
(707) 643-4843

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Yes

Addresses

Primary practice location

328 Kimberly Dr
American Canyon, CA 94503-1340

Mailing address

328 Kimberly Dr
American Canyon, CA 94503-1340

Other names

  • Abilities to Achieve, Inc. Other name

Other providers in American Canyon, CA

All providers in American Canyon, CA · Intellectual Disabilities Intermediate Care Facility in California

Sources for this page

Verify at the official NPI Registry.