NPI 1205002904
Antelope Hills Manor Icf Dd-N INC.
Practice location
- Address
- 5355 Klamath Dr, Sacramento, CA 95842-2651
- Phone
- (916) 332-1439
- Fax
- (916) 332-4716
- Mailing address
- 7704 Antelope Hills Dr, Antelope, CA 95843-2491
Authorised official
- Name
- Antonio Gagante Ranit
- Title
- President
- Phone
- (916) 721-9439
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1205002904
- Entity type
- Organization
- NPI issued
- 2 May 2008
- Record last updated
- 2 May 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.