Carcido's Icf 4
NPI #1063628972 in Stockton, California
Provider Information
- NPI Number
- 1063628972
- Entity Type
- Organization
- Organization Name
- Carcido's Icf 4
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8344 CHEVALIER WAY
- City
- Stockton
- State
- California
- ZIP Code
- 95210-2277
- Phone
- (209) 476-1749
Authorized Official
- Name
- MRS. MEDINA CARCIDO
- Title
- LICENSEE
- Phone
- (209) 471-0814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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