Organization
RESCARE CALIFORNIA, INC.
Active
Other names
RCCA WAWONA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
764 WAWONA ST, MANTECA, CA 95337-6803
(714) 537-3252
Mailing address
10140 LINN STATION RD, LOUISVILLE, KY 40223-3813
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60967H
—
CA
Enumeration date
02/27/2007
Last updated
08/22/2020
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