Portsmouth
Portsmouth is an Intellectual Disabilities Intermediate Care Facility in Hayward, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
27695 Portsmouth AveHayward, CA 94545
Phone: (510) 909-4476
Fax: (510) 538-7892
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X (CA) |
|---|
Record details
| NPI number | 1861534190 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mones Mohseni — Provider · (510) 909-4476 |
| Other names | Portsmouth Icf Ddh |
| NPI enumerated | February 13, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 27695 Portsmouth Avenue, Hayward, CA 94545 |
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