Antioch Icf Inc in Antioch - Intermediate Care Facility, Intellectual Disabilities
Antioch Icf Inc - NPI 1083832752
Antioch Icf Inc is a Intermediate Care Facility, Intellectual Disabilities in Antioch, California. Antioch Icf Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Antioch Icf Inc is 1083832752. The last update date is 2020-08-22.
Antioch Icf Inc's current location address is 3117 San Juan Ct, Antioch, California. You can contact this provider via phone number 9257784855 and fax number 9259789005. The mailing address for Antioch Icf Inc is 3117 San Juan Ct, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antioch Icf Inc |
|---|---|
| Address | 3117 San Juan Ct, Antioch, California |
| Phone Number | 9257784855 |
| Fax Number | 9259789005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Veridiano Tambot Rosemarie |
| Credentials | PHARMACIST |
| Telephone Number | 6505802983 |
NPI Number Detail
| NPI Number | 1083832752 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3117 San Juan Ct |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945095313 |
| Phone Number | 9257784855 |
| Fax Number | 9259789005 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55G491 | CA | LONG TERM CARE |
Post Comment/ Review Below
What is the Antioch Icf Inc's unique identification number?
The Antioch Icf Inc has been assigned the NPI (National Provider Identifier) Number 1083832752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Antioch Icf Inc's facilities are geographically located?
The facilities of Antioch Icf Inc are physically situated at the following location: 3117 San Juan Ct, Antioch, CA, 945095313.
What is Antioch Icf Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Antioch Icf Inc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083832752 to Antioch Icf Inc?
The Centers for Medicare & Medicaid Services originally issued the 1083832752 to Antioch Icf Inc on 2007-04-20.
As of what date were the Antioch Icf Inc's details last updated?
The information pertaining to the Antioch Icf Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1528061710
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