OUR HOUSE RESIDENTIAL CARE
Intermediate Care Facility, Mentally Retarded
Madera, California
Provider NPI: 1699874412
Organization Information:Organization Name: OUR HOUSE RESIDENTIAL CARE
Practice Location:
2816 WESTGATE DR MADERA, CA 93637 US
Tel: 559-673-1922 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
2816 WESTGATE DR MADERA, CA 93637 US
Tel: 559-673-1922 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | CA | LTC80042F |