Organization · Type 2 NPI
Heritage Estates, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Stockton, CA
Practice location
3565 Sunny Rd
Stockton, CA 95215-8302
Fax (209) 239-6306
Mailing address
PO Box 293
Manteca, CA 95336-1124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 030000319 (CA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1083808018
Heritage Estates, Inc.'s National Provider Identifier is 1083808018, issued on Sep 3, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Stockton, CA. The record was last updated on Jun 16, 2008.