NPI 1174679583

Mission Provider Services, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Redding, CA

Practice location

Address: 1916 Herbscenta Ln, Redding, CA 96003-1135
Phone: (530) 242-6709
Mailing address: 2970 Innsbruck Dr STE C, Redding, CA 96003-9303

Authorised official

Name: Dana Emerson
Title: Executive Director
Phone: (530) 222-5633

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1174679583
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 22 Aug 2020

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.