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Elena's Icf Ddh #3 Inc
Intellectual Disabilities Intermediate Care Facility in Hayward, California
NPI 1912063637

Elena's Icf Ddh #3 Inc is a Intellectual Disabilities Intermediate Care Facility based in Hayward, CA. Elena's Icf Ddh #3 Inc practices in Hayward, CA. The NPI Number for Elena's Icf Ddh #3 Inc is 1912063637 and holds a License No. 020000568 (California).

The current practice location address for Elena's Icf Ddh #3 Inc is 1162 Merritt Ln, Hayward, CA and can be reached out via phone at 510-785-8137 and via fax at 510-780-9836.

Location: 1162 Merritt Ln, Hayward, CA, 94545-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912063637
Provider Name
Elena's Icf Ddh #3 Inc
Credential
Provider Entity Type
Organization
Address
1162 Merritt Ln, Hayward, CA, 94545-2529
Phone Number
510-785-8137
Fax Number
510-780-9836
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
55G196 05 CA
institution
Provider Business Practice Location Address Details
Address
1162 Merritt Ln
City
Hayward
State
California
Zip
94545-2529
Phone Number
510-785-8137
Fax Number
510-780-9836
person
Provider Business Mailing Address Details
Address
1162 Merritt Ln
City
Hayward
State
California
Zip
94545-2529
Phone Number
510-785-8137
Fax Number
510-780-9836
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
020000568 (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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