Our Lady of Guadalupe
Our Lady of Guadalupe is an Intellectual Disabilities Intermediate Care Facility in Port Hueneme, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
1474 N 5th StPort Hueneme, CA 93041-2205
Phone: (805) 487-9757
Fax: (805) 487-9757
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X (CA) |
|---|
Record details
| NPI number | 1447224381 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Norma Velasco — Owner · (805) 487-9757 |
| Other names | Mjv Health Care Corporation |
| NPI enumerated | February 15, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2311 E Chevy Chase Dr, Glendale, CA 91206-1811 |
Other providers in Port Hueneme
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Mjv Health Care Corp
981 Gill Ave, Port Hueneme, CA 93041 · (805) 487-7953