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Pacific Home Ca
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Carson, California
NPI 1164663746

Pacific Home Ca is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Carson, CA. Pacific Home Ca practices in Carson, CA. The NPI Number for Pacific Home Ca is 1164663746 and holds a License No. (California).

The current practice location address for Pacific Home Ca is 254 E 220Th St, Carson, CA and can be reached out via phone at 310-518-5178 and via fax at 310-518-5005.

Location: 254 E 220Th St, Carson, CA, 90745-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164663746
Provider Name
Pacific Home Ca
Credential
Provider Entity Type
Organization
Address
254 E 220Th St, Carson, CA, 90745-3012
Phone Number
310-518-5178
Fax Number
310-518-5005
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
254 E 220Th St
City
Carson
State
California
Zip
90745-3012
Phone Number
310-518-5178
Fax Number
310-518-5005
person
Provider Business Mailing Address Details
Address
254 E 220Th St
City
Carson
State
California
Zip
90745-3012
Phone Number
310-518-5178
Fax Number
310-518-5005
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(California)
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.
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