Provider Demographics
NPI:1154688562
Name:DARCIELLE INC
Entity Type:Organization
Organization Name:DARCIELLE INC
Other - Org Name:BELLE ICF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAJARITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-706-8130
Mailing Address - Street 1:4612 BELLE DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-4312
Mailing Address - Country:US
Mailing Address - Phone:925-706-8130
Mailing Address - Fax:
Practice Address - Street 1:4612 BELLE DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4312
Practice Address - Country:US
Practice Address - Phone:925-706-8130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities