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Dorothy Faye Alexander
Intellectual Disabilities Intermediate Care Facility in Marysville, California
NPI 1871635888

Dorothy Faye Alexander is a Intellectual Disabilities Intermediate Care Facility based in Oroville, CA. Dorothy Faye Alexander practices in Marysville, CA. The NPI Number for Dorothy Faye Alexander is 1871635888 and holds a License No. (California).

The current practice location address for Dorothy Faye Alexander is 632 Magnolia Rd, Marysville, CA and can be reached out via phone at 530-589-0536 and via fax at 530-589-1602.

Location: 632 Magnolia Rd, Marysville, CA, 95966-9241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871635888
Provider Name
Dorothy Faye Alexander
Credential
Provider Entity Type
Organization
Address
632 Magnolia Rd, Marysville, CA, 95966-9241
Phone Number
530-589-0536
Fax Number
530-589-1602
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60994F 01 CA CA MEDI CAL VENDOR #
institution
Provider Business Practice Location Address Details
Address
632 Magnolia Rd
City
Marysville
State
California
Zip
95901-3008
Phone Number
530-589-0536
Fax Number
530-589-1602
person
Provider Business Mailing Address Details
Address
632 Magnolia Rd
City
Marysville
State
California
Zip
95901-3008
Phone Number
530-589-0536
Fax Number
530-589-1602
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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