OrganizationActive
Bennett Valley Icf Ddh Inc
NPI 1326198524 · Intellectual Disabilities Intermediate Care Facility · Santa Rosa, CA
Provider details
- NPI number
- 1326198524
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Albero, Director(650) 544-8999
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2416 Cactus Avenue
Santa Rosa, CA 95405
Phone: (707) 544-6465
Fax: (650) 347-8887
Approximate (ZIP-level) locationGet directions
Mailing address
2040 Sea Cliff Way
San Bruno, CA 94066
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.