NPI 1235391723

Mission Provider Services INC

Organisation Intellectual Disabilities Intermediate Care Facility Redding, CA

Practice location

Address: 3810 Canterbury Dr, Redding, CA 96002-4888
Phone: (530) 221-2236
Fax: (530) 222-5528
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 Licence 230000307 (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1235391723
Entity type: Organization
NPI issued: 26 Jun 2008
Record last updated: 26 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.