Antelope Hills Manor Icf/dd-N Inc.
NPI #1528386786 in Antelope, California
Provider Information
- NPI Number
- 1528386786
- Entity Type
- Organization
- Organization Name
- Antelope Hills Manor Icf/dd-N Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ANTELOPE HILLS MANOR ICF/DD-N INC.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 12, 2010
- Last Updated
- May 12, 2010
Practice Location
- Address
- 8533 TULLIA PL
- City
- Antelope
- State
- California
- ZIP Code
- 95843-5986
- Phone
- (916) 548-1397
Authorized Official
- Name
- MR. ANTONIO G RANIT, RN
- Title
- ADMINISTRATOR
- Phone
- (916) 548-1397
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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