State Of California - Department Of Developmental Services in Sacramento - Intermediate Care Facility, Intellectual Disabilities
State Of California - Department Of Developmental Services - NPI 1225089592
State Of California - Department Of Developmental Services is a Intermediate Care Facility, Intellectual Disabilities in Sacramento, California. State Of California - Department Of Developmental Services practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of California - Department Of Developmental Services is 1225089592. The last update date is 2022-04-07.
State Of California - Department Of Developmental Services's current location address is 1215 O Street, Sacramento, California. You can contact this provider via phone number 9166543463 and fax number 9166534587. The mailing address for State Of California - Department Of Developmental Services is 1215 O Street, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | State Of California - Department Of Developmental Services |
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Address | 1215 O Street, Sacramento, California |
Phone Number | 9166543463 |
Fax Number | 9166534587 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF DEPU |
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Authorized Official Name | Castaneda Carla |
Telephone Number | 9166542822 |
NPI Number Detail
NPI Number | 1225089592 |
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Provider Enumeration Date | 2006-05-12 |
Last Updated Date | 2022-04-07 |
Provider Mailing Address Detail
Address | 1215 O Street |
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City | Sacramento |
State | California (CA) |
Post Code | 95814 |
Phone Number | 9166543463 |
Fax Number | 9166534587 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 170000771 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the State Of California - Department Of Developmental Services's unique identification number?
The State Of California - Department Of Developmental Services has been assigned the NPI (National Provider Identifier) Number 1225089592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of State Of California - Department Of Developmental Services?
The State Of California - Department Of Developmental Services is physically situated at 1215 O Street, in the city of Sacramento, state of CA, with the postal code 95814.
What is the area of specialization for State Of California - Department Of Developmental Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of California - Department Of Developmental Services is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the State Of California - Department Of Developmental Services receive the assignment of its 1225089592 from the Centers for Medicare & Medicaid Services?
The State Of California - Department Of Developmental Services was issued its 1225089592 by the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information related to State Of California - Department Of Developmental Services most recently updated or refreshed?
The details pertaining to the State Of California - Department Of Developmental Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-07.
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