institution
Mission Provider Services, Inc.
Intellectual Disabilities Intermediate Care Facility in Redding, California
NPI 1447306857

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 1447306857 and holds a License No. (California).

The current practice location address for Mission Provider Services, Inc. is 3810 Canterbury Dr, Redding, CA and can be reached out via phone at 530-221-2236 and via fax at 530-222-5528.

Location: 3810 Canterbury Dr, Redding, CA, 96003-9303
institution
Provider Profile Details
NPI Number
1447306857
Provider Name
Mission Provider Services, Inc.
Credential
Provider Entity Type
Organization
Address
3810 Canterbury Dr, Redding, CA, 96003-9303
Phone Number
530-221-2236
Fax Number
530-222-5528
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55G306 01 CA DHS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
3810 Canterbury Dr
City
State
Zip
96002-4888
Phone Number
530-221-2236
Fax Number
530-222-5528
person
Provider Business Mailing Address Details
Address
3810 Canterbury Dr
City
State
Zip
96002-4888
Phone Number
530-221-2236
Fax Number
530-222-5528
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
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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