Antelope Hills Manor Icf Ddn INC
NPI #1770622292 in Antelope, California
Provider Information
- NPI Number
- 1770622292
- Entity Type
- Organization
- Organization Name
- Antelope Hills Manor Icf Ddn INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7704 ANTELOPE HILLS DR
- City
- Antelope
- State
- California
- ZIP Code
- 95843-2491
- Phone
- (916) 721-1517
Authorized Official
- Name
- MR. ANTONIO GAGANTE RANIT, REGISTERED NURSE
- Title
- RN ADMINISTRATOR QMRP
- Phone
- (916) 721-9439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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