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MARCIES MANOR III ICF
NPI 1932247541
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Stockton, CA

Active since February 03, 2007
1528 VENETIAN DR, STOCKTON, CA 95207(209) 952-6122(209) 478-3391 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marcies Manor Iii Icf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCIES MANOR III ICF (NPI 1932247541) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Stockton, California and active in the NPI registry since February 2007. The organization lists Marcie H. Patubo, Owner, as its authorized official.

NPPES Registry Identity

NPI1932247541
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMARCIES MANOR III ICF
Location Address1528 VENETIAN DRStockton, CA 95207-5422
Mailing Address5450 Saint Andrews DrStockton, CA 95219-1918 · (209) 478-3391 · Fax (209) 478-3391
Phone(209) 952-6122
Fax(209) 478-3391
Organization SubpartNo
Authorized OfficialMarcie H. PatuboOwner · (209) 478-3391
Enumeration DateFebruary 3, 2007
Last NPPES UpdateApril 30, 2008
✔ NPI 1932247541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in CA · 100000773
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1528 VENETIAN DR, Stockton, CA 95207
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Other Identifiers 1

MedicaidLTC61051FCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcies Manor III Icf's NPI number?

The NPI number for Marcies Manor III Icf is 1932247541. It was assigned to this organization in the NPPES registry on February 3, 2007.

Where is Marcies Manor III Icf located?

Marcies Manor III Icf is located at 1528 Venetian Dr, Stockton, CA 95207. The listed phone number is (209) 952-6122.

What is Marcies Manor III Icf's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Marcies Manor III Icf was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.