DAVIDSON ADULT HOME / BROOKDALE DR NPI 1184811895

NPI Information

DAVIDSON ADULT HOME / BROOKDALE DR is an intermediate care facility mentally retarded in Merced, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DAVIDSON ADULT HOME / BROOKDALE DR NPI is 1184811895. The provider is registered as an organization entity type.

The provider's business location address is:

1326 BROOKDALE DR
MERCED, CA
ZIP 95340-639
Phone: (209) 384-7402
Fax: (209) 383-1538

The provider's authorized official is Julie Davidson .
The authorized official title is Owner and has the following contact phone number (209) 384-7402.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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