NPI 1013115732
Miles Center Road House
Practice location
- Address
- 1649 Center Rd, Novato, CA 94947-3941
- Phone
- (415) 897-3138
Authorised official
- Name
- Nancy Dale Lloyd
- Title
- General Partner
- Phone
- (415) 897-3138
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1013115732
- Entity type
- Organization
- NPI issued
- 3 Jul 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.