ANTELOPE HILLS MANOR ICF/DD-N INC. NPI 1528386786

NPI Information

ANTELOPE HILLS MANOR ICF/DD-N INC. is an intermediate care facility mentally retarded in Antelope, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ANTELOPE HILLS MANOR ICF/DD-N INC. NPI is 1528386786. The provider is registered as an organization entity type.
The provider Is Doing Business As Tullia Place Icf/dd-n.

The provider's business location address is:

8533 TULLIA PL
ANTELOPE, CA
ZIP 95843-986
Phone: (916) 548-1397
Fax: (916) 721-9439

The provider's authorized official is Antonio G Ranit .
The authorized official title is Administrator and has the following contact phone number (916) 548-1397.

The enumeration date for this NPI number is 5/12/2010 and was last updated on 5/12/2010.

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:

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