Organization · Type 2 NPI

Angel's Home Icf, Inc.

Nursing Facility/Intermediate Care Facility · Stockton, CA

NPI number 1205224334 Active

Practice location

10712 Waterbury Dr
Stockton, CA 95209-4212

Fax (209) 477-1449

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	None listed

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1205224334

Angel's Home Icf, Inc.'s National Provider Identifier is 1205224334, issued on Dec 23, 2014. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Stockton, CA. The record was last updated on Dec 23, 2014.