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Koinonia Foster Homes, Inc.
Mental Illness Community Based Residential Treatment Facility in Antelope, California
NPI 1831506534

Koinonia Foster Homes, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Loomis, CA. Koinonia Foster Homes, Inc. practices in Antelope, CA. The NPI Number for Koinonia Foster Homes, Inc. is 1831506534 and holds a License No. 80129 (California).

The current practice location address for Koinonia Foster Homes, Inc. is 4232 Big Cloud Way, Antelope, CA and can be reached out via phone at 916-652-0171.

Location: 4232 Big Cloud Way, Antelope, CA, 95650-1403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831506534
Provider Name
Koinonia Foster Homes, Inc.
Credential
Provider Entity Type
Organization
Address
4232 Big Cloud Way, Antelope, CA, 95650-1403
Phone Number
916-652-0171
Fax Number
Provider Enumeration Date
07/15/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
347001884 01 CA DEPARTMENT OF SOCIAL SERVICES
institution
Provider Business Practice Location Address Details
Address
4232 Big Cloud Way
City
Antelope
State
California
Zip
95843-2406
Phone Number
916-652-0171
Fax Number
person
Provider Business Mailing Address Details
Address
4232 Big Cloud Way
City
Antelope
State
California
Zip
95843-2406
Phone Number
916-652-0171
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
80129 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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