Carcido'S Icf 2 in Stockton - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Carcido'S Icf 2 - NPI 1033326798
Carcido'S Icf 2 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Stockton, California. Carcido'S Icf 2 practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Carcido'S Icf 2 is 1033326798. The last update date is 2020-08-22.
Carcido'S Icf 2's current location address is 1949 Wagner Heights Rd, Stockton, California. You can contact this provider via phone number 2099512074. The mailing address for Carcido'S Icf 2 is 1949 Wagner Heights Rd, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carcido'S Icf 2 |
|---|---|
| Address | 1949 Wagner Heights Rd, Stockton, California |
| Phone Number | 2099512074 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Carcido Medina |
| Telephone Number | 2094710814 |
NPI Number Detail
| NPI Number | 1033326798 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1949 Wagner Heights Rd |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952091846 |
| Phone Number | 2099512074 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | LTC60707F |
|
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 unique 10-digit identifier code assigned to Carcido'S Icf 2 by the Centers for Medicare & Medicaid Services?
The Carcido'S Icf 2 has been issued the NPI (National Provider Identifier) 1033326798 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Carcido'S Icf 2 is geographically located?
The Carcido'S Icf 2 is physically situated at the following location: 1949 Wagner Heights Rd, Stockton, CA, 952091846.
What is Carcido'S Icf 2's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carcido'S Icf 2 is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.
When was the Carcido'S Icf 2's 1033326798 issued?
The Carcido'S Icf 2's 1033326798 was issued on 2007-05-16.
When was the information regarding Carcido'S Icf 2 most recently updated?
The details pertaining to the Carcido'S Icf 2, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.