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Mission Provider Services, Inc.
Intellectual Disabilities Intermediate Care Facility in Redding, California
NPI 1265588677

Mission Provider Services, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Redding, CA. Mission Provider Services, Inc. practices in Redding, CA. The NPI Number for Mission Provider Services, Inc. is 1265588677 and holds a License No. (California).

The current practice location address for Mission Provider Services, Inc. is 3438 Showboat Ct, Redding, CA and can be reached out via phone at 530-242-6721.

Location: 3438 Showboat Ct, Redding, CA, 96003-9303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265588677
Provider Name
Mission Provider Services, Inc.
Credential
Provider Entity Type
Organization
Address
3438 Showboat Ct, Redding, CA, 96003-9303
Phone Number
530-242-6721
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
55G221 01 CA DHS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
3438 Showboat Ct
City
Redding
State
California
Zip
96003-5327
Phone Number
530-242-6721
Fax Number
person
Provider Business Mailing Address Details
Address
3438 Showboat Ct
City
Redding
State
California
Zip
96003-5327
Phone Number
530-242-6721
Fax Number
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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