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Antelope Hills Manor Icf Ddn Inc
Intellectual Disabilities Intermediate Care Facility in Antelope, California
NPI 1770622292

Antelope Hills Manor Icf Ddn Inc is a Intellectual Disabilities Intermediate Care Facility based in Antelope, CA. Antelope Hills Manor Icf Ddn Inc practices in Antelope, CA. The NPI Number for Antelope Hills Manor Icf Ddn Inc is 1770622292 and holds a License No. (California).

The current practice location address for Antelope Hills Manor Icf Ddn Inc is 7704 Antelope Hills Dr, Antelope, CA and can be reached out via phone at 916-721-1517 and via fax at 916-721-0762.

Location: 7704 Antelope Hills Dr, Antelope, CA, 95843-2491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770622292
Provider Name
Antelope Hills Manor Icf Ddn Inc
Credential
Provider Entity Type
Organization
Address
7704 Antelope Hills Dr, Antelope, CA, 95843-2491
Phone Number
916-721-1517
Fax Number
916-721-0762
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80373F 05 CA
LTC80334F 05 CA
institution
Provider Business Practice Location Address Details
Address
7704 Antelope Hills Dr
City
Antelope
State
California
Zip
95843-2491
Phone Number
916-721-1517
Fax Number
916-721-0762
person
Provider Business Mailing Address Details
Address
7704 Antelope Hills Dr
City
Antelope
State
California
Zip
95843-2491
Phone Number
916-721-1517
Fax Number
916-721-0762
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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