institution
Heritage Estates, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stockton, California
NPI 1083808018

Heritage Estates, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Manteca, CA. Heritage Estates, Inc. practices in Stockton, CA. The NPI Number for Heritage Estates, Inc. is 1083808018 and holds a License No. 030000319 (California).

The current practice location address for Heritage Estates, Inc. is 3565 Sunny Rd, Stockton, CA and can be reached out via phone at 209-823-6061 and via fax at 209-239-6306. You can also correspond with Heritage Estates, Inc. through the mailing address at PO BOX 293, MANTECA, CA - 95336-1124 (mailing address contact number: 209-823-6061).

Location: 3565 Sunny Rd, Stockton, CA, 95336-1124
institution
Provider Profile Details
NPI Number
1083808018
Provider Name
Heritage Estates, Inc.
Credential
Provider Entity Type
Organization
Address
3565 Sunny Rd, Stockton, CA, 95336-1124
Phone Number
209-823-6061
Fax Number
209-239-6306
Provider Enumeration Date
09/03/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4696713 01 CA MEDI-CAL PIN
institution
Provider Business Practice Location Address Details
Address
3565 Sunny Rd
City
State
Zip
95215-8302
Phone Number
209-823-6061
Fax Number
209-239-6306
person
Provider Business Mailing Address Details
Address
3565 Sunny Rd
City
State
Zip
95215-8302
Phone Number
209-823-6061
Fax Number
209-239-6306
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
030000319 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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