Marcies Manor III Icf
Marcies Manor III Icf is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stockton, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1528 Venetian DrStockton, CA 95207-5422
Phone: (209) 952-6122
Fax: (209) 478-3391
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 100000773 (CA) |
|---|
Record details
| NPI number | 1932247541 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marcie Patubo — Owner · (209) 478-3391 |
| NPI enumerated | February 3, 2007 |
| Last updated in NPPES | April 30, 2008 |
| Mailing address | 5450 Saint Andrews Dr, Stockton, CA 95219-1918 |
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