1932247541 MARCIES MANOR III ICF

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
MARCIES MANOR III ICF
Enumeration Date
February 3, 2007
Last Update
April 30, 2008
Authorized Official
MARCIE H. PATUBO
OWNER
Phone: (209) 478-3391

Practice Location

Address
1528 VENETIAN DR
STOCKTON, CA 952075422
Phone
(209) 952-6122
Fax
(209) 478-3391

Mailing Address

Address
5450 SAINT ANDREWS DR
STOCKTON, CA 952191918
Phone
(209) 478-3391
Fax
(209) 478-3391

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities 100000773 CA Primary

Other Identifiers

Identifier Type State Issuer
LTC61051F 05 CA N/A

Frequently Asked Questions

What is MARCIES MANOR III ICF's NPI number?
MARCIES MANOR III ICF's NPI number is 1932247541.
Which doctor has NPI number 1932247541?
The doctor with NPI number 1932247541 is MARCIES MANOR III ICF.
What is MARCIES MANOR III ICF's practice address?
MARCIES MANOR III ICF's practice address is 1528 VENETIAN DR, STOCKTON, CA, 952075422.
Which doctor practices at 1528 VENETIAN DR, STOCKTON, CA, 952075422?
MARCIES MANOR III ICF practices at 1528 VENETIAN DR, STOCKTON, CA, 952075422.
What is MARCIES MANOR III ICF's mailing address?
MARCIES MANOR III ICF's mailing address is 5450 SAINT ANDREWS DR, STOCKTON, CA, 952191918.
What is MARCIES MANOR III ICF's phone number?
MARCIES MANOR III ICF's phone number is (209) 952-6122.
Who is (209) 952-6122?
(209) 952-6122 is the phone number for MARCIES MANOR III ICF.
What is MARCIES MANOR III ICF's specialty?
MARCIES MANOR III ICF's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is MARCIES MANOR III ICF?
MARCIES MANOR III ICF is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is MARCIES MANOR III ICF a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, MARCIES MANOR III ICF is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is MARCIES MANOR III ICF still practicing?
Yes, MARCIES MANOR III ICF is currently practicing.
Is MARCIES MANOR III ICF accepting new patients?
MARCIES MANOR III ICF may be accepting new patients. Please call their office at (209) 952-6122 to inquire about availability.
Is NPI 1932247541 still active?
Yes, NPI 1932247541 is currently active.
Where does MARCIES MANOR III ICF practice?
MARCIES MANOR III ICF practices in STOCKTON, CA.