Organization
AIC HEALTH CARE, INC.
Active
Parent organization
AIC HEALTH CARE, INC.
Other names
Citron Way ICF/DD-H
Organization subpart
Yes
Provider details
NPI number
Legal business name
AIC HEALTH CARE, INC.
Authorized official
HELEN MARANAN MACATANGAY RN (PRESIDENT/CEO)
(510) 378-5167
Entity
Organization
Contact information
Practice address
1159 CITRON WAY, HAYWARD, CA 94545-2459
(510) 780-0832
(510) 780-0832
Mailing address
1159 CITRON WAY, HAYWARD, CA 94545-2459
(510) 780-0832
(510) 780-0832
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
020000631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020000631
MEDICAL CERTIFIED ICF/DD-H
CA
Enumeration date
08/24/2018
Last updated
08/24/2018
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