CARCIDO'S ICF 1 NPI 1447466321

NPI Information

CARCIDO'S ICF 1 is a residential treatment facility, intellectual and/or developmental disabilities in Stockton, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CARCIDO'S ICF 1 NPI is 1447466321. The provider is registered as an organization entity type.

The provider's business location address is:

8514 COLONIAL DR
STOCKTON, CA
ZIP 95209-321
Phone: (209) 473-8011

The provider's authorized official is Medina Carcido .
The authorized official title is Licensee and has the following contact phone number (209) 471-0814.

The enumeration date for this NPI number is 5/15/2007 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:

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