Carcido'S Icf 1 in Stockton - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Carcido'S Icf 1 - NPI 1447466321
Carcido'S Icf 1 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Stockton, California. Carcido'S Icf 1 practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Carcido'S Icf 1 is 1447466321. The last update date is 2020-08-22.
Carcido'S Icf 1's current location address is 8514 Colonial Dr, Stockton, California. You can contact this provider via phone number 2094738011. The mailing address for Carcido'S Icf 1 is 8514 Colonial Dr, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carcido'S Icf 1 |
|---|---|
| Address | 8514 Colonial Dr, Stockton, California |
| Phone Number | 2094738011 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Carcido Medina |
| Telephone Number | 2094710814 |
NPI Number Detail
| NPI Number | 1447466321 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8514 Colonial Dr |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952092321 |
| Phone Number | 2094738011 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | LTC60555F |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the Carcido'S Icf 1's 1447466321?
The Carcido'S Icf 1's NPI (National Provider Identifier) Number is 1447466321. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carcido'S Icf 1 is physically located?
The Carcido'S Icf 1 is physically situated at the following address: 8514 Colonial Dr, Stockton, CA, 952092321.
What is Carcido'S Icf 1's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carcido'S Icf 1 is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1447466321 to Carcido'S Icf 1?
The Centers for Medicare & Medicaid Services assigned the 1447466321 to Carcido'S Icf 1 on 2007-05-15.
As of what date were the details related to Carcido'S Icf 1 most recently updated or revised?
The information pertaining to Carcido'S Icf 1, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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