PRESIDENT JOHN ADAMS MANOR III NPI 1265658892

NPI Information

PRESIDENT JOHN ADAMS MANOR III is an intermediate care facility mentally retarded in Sacramento, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. PRESIDENT JOHN ADAMS MANOR III NPI is 1265658892. The provider is registered as an organization entity type.

The provider's business location address is:

5701 FALCONER WAY
SACRAMENTO, CA
ZIP 95824-517
Phone: (916) 417-3481
Fax: (916) 927-4370

The provider's authorized official is Lori Worthen .
The authorized official title is Cfo and has the following contact phone number (916) 417-3481.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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