Organization · Type 2 NPI
Provident Health Care Inc.
Intellectual Disabilities Intermediate Care Facility · Ahwahnee, CA
NPI number
1598157604
Active
Practice location
42406 Windy Gap Dr
Ahwahnee, CA 93601
Fax (209) 722-7087
Mailing address
1238 Catalina Dr
Merced, CA 95348-9515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 3480108 (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Ahwahnee
About NPI 1598157604
Provident Health Care Inc.'s National Provider Identifier is 1598157604, issued on Feb 26, 2015. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ahwahnee, CA. The record was last updated on Feb 26, 2015.