ANTELOPE HILLS MANOR ICF DDN INC NPI 1770622292

NPI Information

ANTELOPE HILLS MANOR ICF DDN 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 DDN INC NPI is 1770622292. The provider is registered as an organization entity type.
The provider Is Doing Business As Klamath Home Icf Ddn.

The provider's business location address is:

7704 ANTELOPE HILLS DR
ANTELOPE, CA
ZIP 95843-491
Phone: (916) 721-1517
Fax: (916) 721-0762

The provider's authorized official is Antonio Gagante Ranit .
The authorized official title is Rn Administrator Qmrp and has the following contact phone number (916) 721-9439.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

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