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Antioch Icf, Inc
Intellectual Disabilities Intermediate Care Facility in Antioch, California
NPI 1073732673

Antioch Icf, Inc is a Intellectual Disabilities Intermediate Care Facility based in Redwood City, CA. Antioch Icf, Inc practices in Antioch, CA. The NPI Number for Antioch Icf, Inc is 1073732673 and holds a License No. (California).

The current practice location address for Antioch Icf, Inc is 1204 Putnam St, Antioch, CA and can be reached out via phone at 925-755-0910 and via fax at 925-978-9005.

Location: 1204 Putnam St, Antioch, CA, 94061-4001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073732673
Provider Name
Antioch Icf, Inc
Credential
Provider Entity Type
Organization
Address
1204 Putnam St, Antioch, CA, 94061-4001
Phone Number
925-755-0910
Fax Number
925-978-9005
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55G218 01 CA LONG TERM CARE
institution
Provider Business Practice Location Address Details
Address
1204 Putnam St
City
Antioch
State
California
Zip
94509-5412
Phone Number
925-755-0910
Fax Number
925-978-9005
person
Provider Business Mailing Address Details
Address
1204 Putnam St
City
Antioch
State
California
Zip
94509-5412
Phone Number
925-755-0910
Fax Number
925-978-9005
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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