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Provident Health Care 619
Intellectual Disabilities Intermediate Care Facility in Merced, California
NPI 1538552591

Provident Health Care 619 is a Intellectual Disabilities Intermediate Care Facility based in Merced, CA. Provident Health Care 619 practices in Merced, CA. The NPI Number for Provident Health Care 619 is 1538552591 and holds a License No. 3470423 (California).

The current practice location address for Provident Health Care 619 is 44665 Road 619, Merced, CA and can be reached out via phone at 209-725-1770.

Location: 44665 Road 619, Merced, CA, 95348-8409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538552591
Provider Name
Provident Health Care 619
Credential
Provider Entity Type
Organization
Address
44665 Road 619, Merced, CA, 95348-8409
Phone Number
209-725-1770
Fax Number
Provider Enumeration Date
03/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44665 Road 619
City
Merced
State
California
Zip
95348
Phone Number
209-725-1770
Fax Number
person
Provider Business Mailing Address Details
Address
44665 Road 619
City
Merced
State
California
Zip
95348
Phone Number
209-725-1770
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
3470423 (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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