A.K. Bean Foundation
Organization Active NPI Comprehensive Outpatient Rehabilitation Facility (CORF) · Vallejo, CA
NPI 1629438775 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1629438775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
- Legal business name
- A.K. BEAN FOUNDATION
- Practice address
- 2100 Sacramento St
Vallejo, CA 94590-3126 - Phone
- (707) 642-4789
- Fax
- (707) 642-8882
- NPI assigned
- Mar 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Denee Marie Tysol, SUDRC
- Title
- Program Manager
- Phone
- (707) 664-7798
Corporate family (same tax ID) 2
Practitioners 1
-
Gretel L Galvan-Padilla, RADT-1
National Provider Directory
- Tax ID family
- Ak Bean Foundation
Locations
2100 Sacramento St
Vallejo, CA 94590
Phone (707) 642-4789
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Yes |
Addresses
Primary practice location
2100 Sacramento St
Vallejo, CA 94590-3126
Mailing address
2100 Sacramento St
Vallejo, CA 94590-3126
Phone (707) 642-8947
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All providers in Vallejo, CA · Comprehensive Outpatient Rehabilitation Facility (CORF) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.