Organization · Type 2 NPI

Marcies Manor III Icf

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Stockton, CA

NPI number 1932247541 Active

Practice location

1528 Venetian Dr
Stockton, CA 95207-5422

Fax (209) 478-3391

Mailing address

5450 Saint Andrews Dr
Stockton, CA 95219-1918

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X100000773 (CA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1932247541

Marcies Manor III Icf's National Provider Identifier is 1932247541, issued on Feb 3, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Stockton, CA. The record was last updated on Apr 30, 2008.