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Alma M Medina
Intellectual Disabilities Intermediate Care Facility in San Leandro, California
NPI 1730396128

Alma M Medina is a Intellectual Disabilities Intermediate Care Facility based in San Leandro, CA. Alma M Medina practices in San Leandro, CA. The NPI Number for Alma M Medina is 1730396128 and holds a License No. (California).

The current practice location address for Alma M Medina is 2076 Vestal Ct, San Leandro, CA and can be reached out via phone at 650-455-2574.

Location: 2076 Vestal Ct, San Leandro, CA, 94577-2328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730396128
Provider Name
Alma M Medina
Credential
Provider Entity Type
Organization
Address
2076 Vestal Ct, San Leandro, CA, 94577-2328
Phone Number
650-455-2574
Fax Number
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55G396 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2076 Vestal Ct
City
San Leandro
State
California
Zip
94577-2328
Phone Number
650-455-2574
Fax Number
person
Provider Business Mailing Address Details
Address
2076 Vestal Ct
City
San Leandro
State
California
Zip
94577-2328
Phone Number
650-455-2574
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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