Organization · Type 2 NPI
Osterman's #3 Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Shasta Lake, CA
Practice location
4741 Pensacola St
Shasta Lake, CA 96019-9773
Fax (530) 275-6674
Mailing address
PO Box 905
Shasta Lake, CA 96019-0905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
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 1548452808
Osterman's #3 Inc's National Provider Identifier is 1548452808, issued on Aug 10, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Shasta Lake, CA. The record was last updated on Aug 10, 2007.