Pacific Home Ca
Pacific Home Ca is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Carson, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
254 E 220th StCarson, CA 90745-3012
Phone: (310) 518-5178
Fax: (310) 518-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (CA) |
|---|
Record details
| NPI number | 1164663746 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rosaline Tanglao — Owner/Licensee · (310) 518-5178 |
| NPI enumerated | March 12, 2009 |
| Last updated in NPPES | March 12, 2009 |
| Mailing address | 254 E 220th St, Carson, CA 90745-3012 |
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