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Provident Health Care Inc
Intellectual Disabilities Intermediate Care Facility in Atwater, California
NPI 1275879801

Provident Health Care Inc is a Intellectual Disabilities Intermediate Care Facility based in Merced, CA. Provident Health Care Inc practices in Atwater, CA. The NPI Number for Provident Health Care Inc is 1275879801 and holds a License No. (California).

The current practice location address for Provident Health Care Inc is 1553 Tamarack Ave, Atwater, CA and can be reached out via phone at 209-357-2212 and via fax at 209-557-5689.

Location: 1553 Tamarack Ave, Atwater, CA, 95348-9515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275879801
Provider Name
Provident Health Care Inc
Credential
Provider Entity Type
Organization
Address
1553 Tamarack Ave, Atwater, CA, 95348-9515
Phone Number
209-357-2212
Fax Number
209-557-5689
Provider Enumeration Date
12/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1553 Tamarack Ave
City
Atwater
State
California
Zip
95301-2743
Phone Number
209-357-2212
Fax Number
209-557-5689
person
Provider Business Mailing Address Details
Address
1553 Tamarack Ave
City
Atwater
State
California
Zip
95301-2743
Phone Number
209-357-2212
Fax Number
209-557-5689
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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