Organization
AHWAHNEE CARE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE CLARKE STEVENS RN (ADMINISTRATOR)
(559) 658-2444
Entity
Organization
Contact information
Practice address
444665 ROAD 619, AHWAHNEE, CA 93601
(559) 658-2444
(559) 641-7898
Mailing address
PO BOX 346, AHWAHNEE, CA 93601-0346
(559) 658-2444
(559) 641-7898
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
05G815
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
05G904
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
55G074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80099F
—
CA
05
—
LTC80133F
—
CA
05
—
LTC80200F
—
CA
Enumeration date
09/20/2006
Last updated
07/21/2022
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