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Payang Enterprise Llc
Intellectual Disabilities Intermediate Care Facility in Tracy, California
NPI 1659964195

Payang Enterprise Llc is a Intellectual Disabilities Intermediate Care Facility based in Tracy, CA. Payang Enterprise Llc practices in Tracy, CA. The NPI Number for Payang Enterprise Llc is 1659964195 and holds a License No. (California).

The current practice location address for Payang Enterprise Llc is 294 Laguna Dr, Tracy, CA and can be reached out via phone at 209-835-0824 and via fax at 209-832-5990.

Location: 294 Laguna Dr, Tracy, CA, 95376-1930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659964195
Provider Name
Payang Enterprise Llc
Credential
Provider Entity Type
Organization
Address
294 Laguna Dr, Tracy, CA, 95376-1930
Phone Number
209-835-0824
Fax Number
209-832-5990
Provider Enumeration Date
02/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
294 Laguna Dr
City
Tracy
State
California
Zip
95376-1930
Phone Number
209-835-0824
Fax Number
209-832-5990
person
Provider Business Mailing Address Details
Address
294 Laguna Dr
City
Tracy
State
California
Zip
95376-1930
Phone Number
209-835-0824
Fax Number
209-832-5990
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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