Organization · Type 2 NPI
Our House Residential Care, Inc
Intellectual Disabilities Intermediate Care Facility · Madera, CA
NPI number
1306901855
Active
Practice location
405 Shannon Ave
Madera, CA 93637-4255
Fax (559) 673-4825
Mailing address
500 S D St
Madera, CA 93638-3857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1306901855
Our House Residential Care, Inc's National Provider Identifier is 1306901855, issued on Dec 26, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Madera, CA. The record was last updated on Jan 25, 2024.