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Good Shepherd Lutheran Home Of The West
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lake Forest, California
NPI 1194876359

Good Shepherd Lutheran Home Of The West is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Watertown, CA. Good Shepherd Lutheran Home Of The West practices in Lake Forest, CA. The NPI Number for Good Shepherd Lutheran Home Of The West is 1194876359 and holds a License No. (California).

The current practice location address for Good Shepherd Lutheran Home Of The West is 26489 Rancho Pkwy S, Lake Forest, CA and can be reached out via phone at 949-855-8056 and via fax at 949-600-6116.

Location: 26489 Rancho Pkwy S, Lake Forest, CA, 53094-6223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194876359
Provider Name
Good Shepherd Lutheran Home Of The West
Credential
Provider Entity Type
Organization
Address
26489 Rancho Pkwy S, Lake Forest, CA, 53094-6223
Phone Number
949-855-8056
Fax Number
949-600-6116
Provider Enumeration Date
01/15/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
26489 Rancho Pkwy S
City
Lake Forest
State
California
Zip
92630-8326
Phone Number
949-855-8056
Fax Number
949-600-6116
person
Provider Business Mailing Address Details
Address
26489 Rancho Pkwy S
City
Lake Forest
State
California
Zip
92630-8326
Phone Number
949-855-8056
Fax Number
949-600-6116
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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