ANTIOCH ICF INC NPI 1538388038

NPI Information

ANTIOCH ICF INC is an intermediate care facility mentally retarded in Antioch, 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. ANTIOCH ICF INC NPI is 1538388038. The provider is registered as an organization entity type.
The provider Is Doing Business As Francisco Icf.

The provider's business location address is:

3359 S FRANCISCO WAY
ANTIOCH, CA
ZIP 94509-434
Phone: (925) 755-3447
Fax: (925) 978-9005

The provider's authorized official is Rosemarie Tambot Veridiano .
The authorized official title is PRESIDENT ADMINISTRATORAdministrator and has the following contact phone number (650) 580-2983.

The enumeration date for this NPI number is 4/24/2007 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.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.