Organization · Type 2 NPI
Berkshire Manor Inc
Intellectual Disabilities Intermediate Care Facility · Campbell, CA
NPI number
1972653178
Active
Practice location
4868 Roundtree Drive
Campbell, CA 95008
Fax (650) 347-8887
Mailing address
2820 Berkshire Drive
San Bruno, CA 94066
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.
About NPI 1972653178
Berkshire Manor Inc's National Provider Identifier is 1972653178, issued on Jan 11, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Campbell, CA. The record was last updated on Aug 22, 2020.