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Antelope Hills Manor Icf Dd-n Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Sacramento, California
NPI 1205002904

Antelope Hills Manor Icf Dd-n Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Antelope, CA. Antelope Hills Manor Icf Dd-n Inc. practices in Sacramento, CA. The NPI Number for Antelope Hills Manor Icf Dd-n Inc. is 1205002904 and holds a License No. 550000069 (California).

The current practice location address for Antelope Hills Manor Icf Dd-n Inc. is 5355 Klamath Dr, Sacramento, CA and can be reached out via phone at 916-332-1439 and via fax at 916-332-4716.

Location: 5355 Klamath Dr, Sacramento, CA, 95843-2491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205002904
Provider Name
Antelope Hills Manor Icf Dd-n Inc.
Credential
Provider Entity Type
Organization
Address
5355 Klamath Dr, Sacramento, CA, 95843-2491
Phone Number
916-332-1439
Fax Number
916-332-4716
Provider Enumeration Date
05/02/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80373F 01 CA CALIFORNIA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
5355 Klamath Dr
City
Sacramento
State
California
Zip
95842-2651
Phone Number
916-332-1439
Fax Number
916-332-4716
person
Provider Business Mailing Address Details
Address
5355 Klamath Dr
City
Sacramento
State
California
Zip
95842-2651
Phone Number
916-332-1439
Fax Number
916-332-4716
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
550000069 (California)
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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