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Intellectual Disabilities Intermediate Care Facility · ANTIOCH, CA

Individual Active NPI 1336592567

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual Disabilities Intermediate Care Facility	315P00000X	✓	—	CA
Intellectual Disabilities Intermediate Care Facility	315P00000X		—	—

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See all Intellectual Disabilities Intermediate Care Facility providers in California →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.