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Northern California Adaptive Living Center, Inc.
Intellectual Disabilities Intermediate Care Facility in Ukiah, California
NPI 1578779286

Northern California Adaptive Living Center, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Chico, CA. Northern California Adaptive Living Center, Inc. practices in Ukiah, CA. The NPI Number for Northern California Adaptive Living Center, Inc. is 1578779286 and holds a License No. (California).

The current practice location address for Northern California Adaptive Living Center, Inc. is 1116 W Perkins St, Ukiah, CA and can be reached out via phone at 707-468-0602 and via fax at 707-468-3854.

Location: 1116 W Perkins St, Ukiah, CA, 95973-4924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578779286
Provider Name
Northern California Adaptive Living Center, Inc.
Credential
Provider Entity Type
Organization
Address
1116 W Perkins St, Ukiah, CA, 95973-4924
Phone Number
707-468-0602
Fax Number
707-468-3854
Provider Enumeration Date
05/16/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60260G 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1116 W Perkins St
City
Ukiah
State
California
Zip
95482-4625
Phone Number
707-468-0602
Fax Number
707-468-3854
person
Provider Business Mailing Address Details
Address
1116 W Perkins St
City
Ukiah
State
California
Zip
95482-4625
Phone Number
707-468-0602
Fax Number
707-468-3854
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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