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Mission Provider Services, Inc.
Intellectual Disabilities Intermediate Care Facility in Redding, California
NPI 1649326547

Mission Provider Services, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Redding, CA. Mission Provider Services, Inc. practices in Redding, CA. The NPI Number for Mission Provider Services, Inc. is 1649326547 and holds a License No. (California).

The current practice location address for Mission Provider Services, Inc. is 11560 Wilvern Ln, Redding, CA and can be reached out via phone at 530-241-9535.

Location: 11560 Wilvern Ln, Redding, CA, 96003-9303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649326547
Provider Name
Mission Provider Services, Inc.
Credential
Provider Entity Type
Organization
Address
11560 Wilvern Ln, Redding, CA, 96003-9303
Phone Number
530-241-9535
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55G451 01 CA DHS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
11560 Wilvern Ln
City
Redding
State
California
Zip
96003-8619
Phone Number
530-241-9535
Fax Number
person
Provider Business Mailing Address Details
Address
11560 Wilvern Ln
City
Redding
State
California
Zip
96003-8619
Phone Number
530-241-9535
Fax Number
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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