# PSB HOMES INC. DRACAENA HOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003245499
- **Authorized official:** PRISCILLA BUSTAMANTE (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (714) 926-2352

## Contact information

- **Practice address:** 8241 DRACAENA DR, BUENA PARK, CA 90620-4014
- **Practice address phone:** (714) 826-6652
- **Practice address fax:** (714) 779-7268
- **Mailing address:** 8241 DRACAENA DR, BUENA PARK, CA 90620-4014
- **Mailing address phone:** (714) 826-6652
- **Mailing address fax:** (714) 779-7268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/05/2013