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Osterman's #3 Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Shasta Lake, California
NPI 1548452808

Osterman's #3 Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Shasta Lake, CA. Osterman's #3 Inc practices in Shasta Lake, CA. The NPI Number for Osterman's #3 Inc is 1548452808 and holds a License No. (California).

The current practice location address for Osterman's #3 Inc is 4741 Pensacola St, Shasta Lake, CA and can be reached out via phone at 530-275-2346 and via fax at 530-275-6674.

Location: 4741 Pensacola St, Shasta Lake, CA, 96019-0905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548452808
Provider Name
Osterman's #3 Inc
Credential
Provider Entity Type
Organization
Address
4741 Pensacola St, Shasta Lake, CA, 96019-0905
Phone Number
530-275-2346
Fax Number
530-275-6674
Provider Enumeration Date
08/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC 60729G 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
4741 Pensacola St
City
Shasta Lake
State
California
Zip
96019-9773
Phone Number
530-275-2346
Fax Number
530-275-6674
person
Provider Business Mailing Address Details
Address
4741 Pensacola St
City
Shasta Lake
State
California
Zip
96019-9773
Phone Number
530-275-2346
Fax Number
530-275-6674
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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