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State Of California - Department Of Developmental Services
Intellectual Disabilities Intermediate Care Facility in Porterville, California
NPI 1982990206

State Of California - Department Of Developmental Services is a Intellectual Disabilities Intermediate Care Facility based in Sacramento, CA. State Of California - Department Of Developmental Services practices in Porterville, CA. The NPI Number for State Of California - Department Of Developmental Services is 1982990206 and holds a License No. 170000837 (California).

The current practice location address for State Of California - Department Of Developmental Services is 26501 Avenue 140, Porterville, CA and can be reached out via phone at 559-782-2222 and via fax at 559-782-5630.

Location: 26501 Avenue 140, Porterville, CA, 94244-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982990206
Provider Name
State Of California - Department Of Developmental Services
Credential
Provider Entity Type
Organization
Address
26501 Avenue 140, Porterville, CA, 94244-2020
Phone Number
559-782-2222
Fax Number
559-782-5630
Provider Enumeration Date
06/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26501 Avenue 140
City
Porterville
State
California
Zip
93257-9109
Phone Number
559-782-2222
Fax Number
559-782-5630
person
Provider Business Mailing Address Details
Address
26501 Avenue 140
City
Porterville
State
California
Zip
93257-9109
Phone Number
559-782-2222
Fax Number
559-782-5630
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
170000837 (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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