Organization · Type 2 NPI

Provident Health Care Inc

Intellectual Disabilities Intermediate Care Facility · Atwater, CA

NPI number 1275879801 Active

Practice location

1553 Tamarack Ave
Atwater, CA 95301-2743

Fax (209) 557-5689

Mailing address

1238 Catalina Dr
Merced, CA 95348-9515

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

2 other providers at this address

Other intellectual disabilities intermediate care facility providers in Atwater

See all in Atwater →

About NPI 1275879801

Provident Health Care Inc's National Provider Identifier is 1275879801, issued on Dec 31, 2012. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Atwater, CA. The record was last updated on Dec 31, 2012.