Organization · Type 2 NPI
Heritage Estates, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Manteca, CA
Practice location
790 Tahoe St
Manteca, CA 95337-6817
Fax (209) 239-6306
Mailing address
PO Box 293
Manteca, CA 95336-1124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 030000295 (CA) |
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.
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About NPI 1629263231
Heritage Estates, Inc.'s National Provider Identifier is 1629263231, issued on Sep 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Manteca, CA. The record was last updated on Jun 16, 2008.