Organization
SMITH RESIDENTIAL CARE
Active
Other names
Smith Residential Care - Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE SMITH (OWNER)
(559) 584-8451
Entity
Organization
Contact information
Practice address
1073 W TERRACE DR, HANFORD, CA 93230-1939
(559) 583-7802
(559) 584-8674
Mailing address
PO BOX 1093, 318-A E. 4TH STREET, HANFORD, CA 93232-1093
(559) 584-8451
(559) 584-8674
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60322H
MEDICAL PROVIDER NUMBER
CA
Enumeration date
03/09/2007
Last updated
08/22/2020
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