Heritage Estates, Inc., NPI 1710171749
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Manteca, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1710171749
NPI Entity Type Organization
Provider Name Heritage Estates, Inc.
Doing Business As
Subpart of Organization Heritage Estates Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1151 Locust Ave, Manteca, CA, US
Provider Mailing Address Po Box 293, Manteca, CA, US, 953361124
Is Sole Proprietor? No
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Organization Official

Official Name MS. Mary A Perry
Official Position SECRETARY/TREASURER
Phone 209-823-6061

Primary Taxonomy

Taxonomy Code

320900000X

Taxonomy Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Group

Residential Treatment Facilities

License No. 030000239
License State CA
Description A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Other Organization Name

LOCUST HOME
Doing Business As

Business Address

Heritage Estates, Inc.
1151 Locust Ave

Manteca, CA, US

Phone: 209-823-6061
Fax: 209-239-6306

Mailing Address

Heritage Estates, Inc.
Po Box 293
Manteca, CA, US
ZIP 953361124
Phone: 209-823-6061
Fax: 209-239-6306

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