PORTSMOUTH is an intermediate care facility mentally retarded in Hayward, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PORTSMOUTH NPI is 1861534190. The provider is registered as an organization entity type.
The provider Other Name Is Portsmouth Icf Ddh.
The provider's business location address is:
27695 PORTSMOUTH AVENUE
HAYWARD, CA
ZIP 94545
Phone: (510) 909-4476
Fax: (510) 538-7892
The provider's authorized official is Mones John Mohseni .
The authorized official title is Provider and has the following contact phone number (510) 909-4476.
The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.