State of California - Department of Developmental Services
NPI #1982990206 in Porterville, California
Provider Information
- NPI Number
- 1982990206
- Entity Type
- Organization
- Organization Name
- State of California - Department of Developmental Services
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jun 24, 2011
- Last Updated
- Jun 24, 2011
Practice Location
- Address
- 26501 AVENUE 140
- City
- Porterville
- State
- California
- ZIP Code
- 93257-9109
- Phone
- (559) 782-2222
Authorized Official
- Name
- MS. PATRICIA FLANNERY
- Title
- DEPUTY DIRECTOR
- Phone
- (916) 654-2232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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