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Debra Ballou-harding
Assisted Living Facility (Behavioral Disturbances) in La Mirada, California
NPI 1487314647

Debra Ballou-harding is an Assisted Living Facility (Behavioral Disturbances) based in Bellflower, CA and is specialized in Assisted Living, Behavioral Disturbances. Debra Ballou-harding practices in La Mirada, CA. The NPI Number for Debra Ballou-harding is 1487314647 and holds a License No. (California).

The current practice location address for Debra Ballou-harding is 14516 Tacuba Dr, La Mirada, CA and can be reached out via phone at 562-805-0526.

Location: 14516 Tacuba Dr, La Mirada, CA, 90706-7149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487314647
Provider Name
Debra Ballou-harding
Credential
Provider Entity Type
Individual
Gender
Female
Address
14516 Tacuba Dr, La Mirada, CA, 90706-7149
Phone Number
562-805-0526
Fax Number
Provider Enumeration Date
12/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198603544 05 CA
institution
Provider Business Practice Location Address Details
Address
14516 Tacuba Dr
City
La Mirada
State
California
Zip
90638-2043
Phone Number
562-805-0526
Fax Number
person
Provider Business Mailing Address Details
Address
14516 Tacuba Dr
City
La Mirada
State
California
Zip
90638-2043
Phone Number
562-805-0526
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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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