Individual provider · Type 1 NPI
Judith Abesamis
Intellectual Disabilities Intermediate Care Facility · Antioch, CA
NPI number
1336592567
Active
Practice location
2215 Field St
Antioch, CA 94509-3919
Fax (925) 978-2761
Mailing address
5241 Cedar Ridge Way
Antioch, CA 94531-8097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | None listed |
| 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.
Another provider at this address
About NPI 1336592567
Judith Abesamis's National Provider Identifier is 1336592567, issued on Jul 23, 2016. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Antioch, CA. The record was last updated on Jul 23, 2016.