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Provident Health Care Inc.
Intellectual Disabilities Intermediate Care Facility in Ahwahnee, California
NPI 1598157604

Provident Health Care Inc. is a Intellectual Disabilities Intermediate Care Facility based in Merced, CA. Provident Health Care Inc. practices in Ahwahnee, CA. The NPI Number for Provident Health Care Inc. is 1598157604 and holds a License No. 3480108 (California).

The current practice location address for Provident Health Care Inc. is 42406 Windy Gap Dr, Ahwahnee, CA and can be reached out via phone at 559-683-8020 and via fax at 209-722-7087.

Location: 42406 Windy Gap Dr, Ahwahnee, CA, 95348-9515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598157604
Provider Name
Provident Health Care Inc.
Credential
Provider Entity Type
Organization
Address
42406 Windy Gap Dr, Ahwahnee, CA, 95348-9515
Phone Number
559-683-8020
Fax Number
209-722-7087
Provider Enumeration Date
02/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
42406 Windy Gap Dr
City
Ahwahnee
State
California
Zip
93601
Phone Number
559-683-8020
Fax Number
209-722-7087
person
Provider Business Mailing Address Details
Address
42406 Windy Gap Dr
City
Ahwahnee
State
California
Zip
93601
Phone Number
559-683-8020
Fax Number
209-722-7087
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
3480108 (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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