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Ahmed Awad Qasim
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Riverside, California
NPI 1952995086

Ahmed Awad Qasim is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Riverside, CA. Ahmed Awad Qasim practices in Riverside, CA. The NPI Number for Ahmed Awad Qasim is 1952995086 and holds a License No. (California).

The current practice location address for Ahmed Awad Qasim is 11545 Doverwood Dr, Riverside, CA and can be reached out via phone at 650-452-2554. You can also correspond with Ahmed Awad Qasim through the mailing address at 11545 DOVERWOOD DR, RIVERSIDE, CA - 92505-3205 (mailing address contact number: 650-452-2554).

Location: 11545 Doverwood Dr, Riverside, CA, 92505-3205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952995086
Provider Name
Ahmed Awad Qasim
Credential
Provider Entity Type
Individual
Gender
Male
Address
11545 Doverwood Dr, Riverside, CA, 92505-3205
Phone Number
650-452-2554
Fax Number
Provider Enumeration Date
03/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
331881116 01 CA CDSS
institution
Provider Business Practice Location Address Details
Address
11545 Doverwood Dr
City
Riverside
State
California
Zip
92505-3205
Phone Number
650-452-2554
Fax Number
person
Provider Business Mailing Address Details
Address
11545 Doverwood Dr
City
Riverside
State
California
Zip
92505-3205
Phone Number
650-452-2554
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
331881116 (California)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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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