Organization · Type 2 NPI
Our House Residential Care, Inc
Intellectual Disabilities Intermediate Care Facility · Madera, CA
NPI number
1720144744
Active
Practice location
2816 Westgate Dr
Madera, CA 93637-4159
Fax (559) 673-4825
Mailing address
109 E Central Ave
Madera, CA 93638-3109
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 1720144744
Our House Residential Care, Inc's National Provider Identifier is 1720144744, issued on Dec 28, 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.