Organization · Type 2 NPI

Carcido's Icf 5 (j&m)

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

NPI number 1992912513 Active

Practice location

1905 Amberwood Ct
Stockton, CA 95207-8812

Call (209) 471-0814 Map

Mailing address

PO Box 690097
Stockton, CA 95269-0097

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XLTC61031F (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 1992912513

Carcido's Icf 5 (j&m)'s National Provider Identifier is 1992912513, issued on May 16, 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 Aug 22, 2020.