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Marcies Manor Iii Icf
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stockton, California
NPI 1932247541

Marcies Manor Iii Icf is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Stockton, CA. Marcies Manor Iii Icf practices in Stockton, CA. The NPI Number for Marcies Manor Iii Icf is 1932247541 and holds a License No. 100000773 (California).

The current practice location address for Marcies Manor Iii Icf is 1528 Venetian Dr, Stockton, CA and can be reached out via phone at 209-952-6122 and via fax at 209-478-3391.

Location: 1528 Venetian Dr, Stockton, CA, 95219-1918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932247541
Provider Name
Marcies Manor Iii Icf
Credential
Provider Entity Type
Organization
Address
1528 Venetian Dr, Stockton, CA, 95219-1918
Phone Number
209-952-6122
Fax Number
209-478-3391
Provider Enumeration Date
02/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC61051F 05 CA
institution
Provider Business Practice Location Address Details
Address
1528 Venetian Dr
City
Stockton
State
California
Zip
95207-5422
Phone Number
209-952-6122
Fax Number
209-478-3391
person
Provider Business Mailing Address Details
Address
1528 Venetian Dr
City
Stockton
State
California
Zip
95207-5422
Phone Number
209-952-6122
Fax Number
209-478-3391
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
100000773 (California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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