Antioch Icf Inc

NPI 1083832752 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1083832752
Enumeration Date 04/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROSEMARIE TAMBOT ROSEMARIE
Position PRESIDENT ADMINISTRATOR
Phone (925) 778-4855
Fax (925) 978-9005
Practice Location
3117 SAN JUAN CT
ANTIOCH CA, 94509-5313, US
Phone (925) 778-4855
Fax (925) 978-9005
Business Location
2893 EL CAMINO REAL
SUITE C
REDWOOD CITY CA, 94061-4001, US
Phone (650) 216-9960
Fax (650) 216-9455
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
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According to our database, Antioch Icf Inc NPI is 1083832752, taxonomy code is 315P00000X Antioch Icf Inc physically located at 3117 San Juan Ct, Antioch CA, 94509-5313. NPI Number 1033115704 has the healthcare provider type.

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1083832752 NPI number is provided on an as is basis without warranty of any kind. 1083832752 is maintained by the National Plan & Provider Enumeration System. The contents of Antioch Icf Inc are for informational purposes only.