Organization · Type 2 NPI
Grace Cottage
Intellectual Disabilities Intermediate Care Facility · Livingston, CA
NPI number
1760710206
Active
Practice location
1616 2nd St
Livingston, CA 95334-1247
Fax (209) 394-7694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 550001115 (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1760710206
Grace Cottage's National Provider Identifier is 1760710206, issued on Nov 20, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Livingston, CA. The record was last updated on Nov 20, 2009.