Antioch Icf, INC
NPI #1073732673 in Antioch, California
Provider Information
- NPI Number
- 1073732673
- Entity Type
- Organization
- Organization Name
- Antioch Icf, INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1204 PUTNAM ST
- City
- Antioch
- State
- California
- ZIP Code
- 94509-5412
- Phone
- (925) 755-0910
Authorized Official
- Name
- MRS. ROSEMARIE TAMBOT VERIDIANO, PHARMACIST
- Title
- PRESIDENT ADMINISTRATOR
- Phone
- (650) 580-2983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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