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Heritage Estates, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Manteca, California
NPI 1629263231

Heritage Estates, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Manteca, CA. Heritage Estates, Inc. practices in Manteca, CA. The NPI Number for Heritage Estates, Inc. is 1629263231 and holds a License No. 030000295 (California).

The current practice location address for Heritage Estates, Inc. is 790 Tahoe St, Manteca, CA and can be reached out via phone at 209-823-6061 and via fax at 209-239-6306.

Location: 790 Tahoe St, Manteca, CA, 95336-1124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629263231
Provider Name
Heritage Estates, Inc.
Credential
Provider Entity Type
Organization
Address
790 Tahoe St, Manteca, CA, 95336-1124
Phone Number
209-823-6061
Fax Number
209-239-6306
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4696713 01 CA MEDI-CAL PIN
institution
Provider Business Practice Location Address Details
Address
790 Tahoe St
City
Manteca
State
California
Zip
95337-6817
Phone Number
209-823-6061
Fax Number
209-239-6306
person
Provider Business Mailing Address Details
Address
790 Tahoe St
City
Manteca
State
California
Zip
95337-6817
Phone Number
209-823-6061
Fax Number
209-239-6306
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.
030000295 (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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