MiscSubjects

MILES RAE LANE HOUSE

MILES RAE LANE HOUSE

Healthcare Organization

npi
1225236953
phone
415-897-3138
status
A
address
858 RAE LN, NOVATO, CA, 949472049
license
05G790
taxonomy
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
last updated
2020-08-22
license state
CA
taxonomy code
320900000X
enumeration date
2007-07-03
enumeration type
NPI-2
practice locations
0
authorized official
NANCY LLOYD
organizational subpart
NO
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

COUNTY OF MARINAssessor parcel record
Parcel number
13214207
13214207

13214207 · located on

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