ANTIOCH ICF INC is an intermediate care facility mentally retarded in Antioch, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ANTIOCH ICF INC NPI is 1083832752. The provider is registered as an organization entity type.
The provider Is Doing Business As San Juan Icf.
The provider's business location address is:
3117 SAN JUAN CT
ANTIOCH, CA
ZIP 94509-313
Phone: (925) 778-4855
Fax: (925) 978-9005
The provider's authorized official is Rosemarie Tambot Veridiano .
The authorized official title is PRESIDENT ADMINISTRATORAdministrator and has the following contact phone number (650) 580-2983.
The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.