Provident Health Care 619
Provident Health Care 619 is an Intellectual Disabilities Intermediate Care Facility in Merced, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
44665 Road 619Merced, CA 95348
Phone: (209) 725-1770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 3470423 (CA) |
|---|
Record details
| NPI number | 1538552591 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Tiu — Executive Director · (209) 725-1770 |
| NPI enumerated | March 13, 2015 |
| Last updated in NPPES | March 13, 2015 |
| Mailing address | 1331 Riverside Ct, Merced, CA 95348-8409 |
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