Organization · Type 2 NPI

Provident Health Care Inc

Intellectual Disabilities Intermediate Care Facility · Merced, CA

NPI number 1730990839 Active

Practice location

1331 Riverside Ct
Merced, CA 95348-8409

Call (209) 388-1002 Map

Fax (209) 388-1007

Mailing address

1238 Catalina Dr
Merced, CA 95348-9515

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1730990839

Provident Health Care Inc's National Provider Identifier is 1730990839, issued on Jan 17, 2025. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Merced, CA. The record was last updated on Jan 17, 2025.