NPI 1083808018

Heritage Estates, INC.

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

Practice location

Address: 3565 Sunny Rd, Stockton, CA 95215-8302
Phone: (209) 823-6061
Fax: (209) 239-6306
Mailing address: PO Box 293, Manteca, CA 95336-1124

Authorised official

Name: Mary a Perry
Title: Secretary/Treasurer
Phone: (209) 823-6061

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 030000319 (CA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1083808018
Entity type: Organization
NPI issued: 3 Sep 2007
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.