Erica Rene Graham-Bullock
Erica Rene Graham-Bullock is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Perris, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
3656 Ginger StPerris, CA 92571-7825
Phone: (818) 818-1817
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 331881331 (CA) |
|---|
Record details
| NPI number | 1063284875 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2023 |
| Last updated in NPPES | October 25, 2023 |
| Certification date | October 25, 2023 |
Other providers in Perris
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Erica B Independent Living Facility
3656 Ginger St, Perris, CA 92571-7825 · (951) 226-1750