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Angel's Home Icf, Inc.
Nursing Facility/Intermediate Care Facility in Stockton, California
NPI 1205224334

Angel's Home Icf, Inc. is a Nursing Facility/Intermediate Care Facility based in Stockton, CA. Angel's Home Icf, Inc. practices in Stockton, CA. The NPI Number for Angel's Home Icf, Inc. is 1205224334 and holds a License No. (California).

The current practice location address for Angel's Home Icf, Inc. is 10712 Waterbury Dr, Stockton, CA and can be reached out via phone at 510-289-3848 and via fax at 209-477-1449.

Location: 10712 Waterbury Dr, Stockton, CA, 95209-4212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205224334
Provider Name
Angel's Home Icf, Inc.
Credential
Provider Entity Type
Organization
Address
10712 Waterbury Dr, Stockton, CA, 95209-4212
Phone Number
510-289-3848
Fax Number
209-477-1449
Provider Enumeration Date
12/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10712 Waterbury Dr
City
Stockton
State
California
Zip
95209-4212
Phone Number
510-289-3848
Fax Number
209-477-1449
person
Provider Business Mailing Address Details
Address
10712 Waterbury Dr
City
Stockton
State
California
Zip
95209-4212
Phone Number
510-289-3848
Fax Number
209-477-1449
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
(California)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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