institution
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. You can also correspond with Marcies Manor Iii Icf through the mailing address at 5450 SAINT ANDREWS DR, STOCKTON, CA - 95219-1918 (mailing address contact number: 209-478-3391).

Location: 1528 Venetian Dr, Stockton, CA, 95219-1918
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
State
Zip
95207-5422
Phone Number
209-952-6122
Fax Number
209-478-3391
person
Provider Business Mailing Address Details
Address
5450 Saint Andrews Dr
City
State
Zip
95219-1918
Phone Number
209-478-3391
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
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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