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Nic Usa Inc
Intellectual Disabilities Intermediate Care Facility in Concord, California
NPI 1265567333

Nic Usa Inc is a Intellectual Disabilities Intermediate Care Facility based in Walnut Creek, CA. Nic Usa Inc practices in Concord, CA. The NPI Number for Nic Usa Inc is 1265567333 and holds a License No. (California).

The current practice location address for Nic Usa Inc is 4118 Phoenix St, Concord, CA and can be reached out via phone at 925-944-1222 and via fax at 925-946-9254.

Location: 4118 Phoenix St, Concord, CA, 94597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265567333
Provider Name
Nic Usa Inc
Credential
Provider Entity Type
Organization
Address
4118 Phoenix St, Concord, CA, 94597
Phone Number
925-944-1222
Fax Number
925-946-9254
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60777F 05 CA
institution
Provider Business Practice Location Address Details
Address
4118 Phoenix St
City
Concord
State
California
Zip
94521
Phone Number
925-944-1222
Fax Number
925-946-9254
person
Provider Business Mailing Address Details
Address
4118 Phoenix St
City
Concord
State
California
Zip
94521
Phone Number
925-944-1222
Fax Number
925-946-9254
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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