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Our House Residential Care, Inc
Intellectual Disabilities Intermediate Care Facility in Madera, California
NPI 1699874412

Our House Residential Care, Inc is a Intellectual Disabilities Intermediate Care Facility based in Madera, CA. Our House Residential Care, Inc practices in Madera, CA. The NPI Number for Our House Residential Care, Inc is 1699874412 and holds a License No. LTC80042F (California).

The current practice location address for Our House Residential Care, Inc is 109 E Central Ave, Madera, CA and can be reached out via phone at 559-674-8670 and via fax at 559-673-4825.

Location: 109 E Central Ave, Madera, CA, 93638-3857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699874412
Provider Name
Our House Residential Care, Inc
Credential
Provider Entity Type
Organization
Address
109 E Central Ave, Madera, CA, 93638-3857
Phone Number
559-674-8670
Fax Number
559-673-4825
Provider Enumeration Date
09/21/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
109 E Central Ave
City
Madera
State
California
Zip
93638-3109
Phone Number
559-674-8670
Fax Number
559-673-4825
person
Provider Business Mailing Address Details
Address
109 E Central Ave
City
Madera
State
California
Zip
93638-3109
Phone Number
559-674-8670
Fax Number
559-673-4825
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
LTC80042F (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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