# B&M SUPPORT AND CARE HOME LLC

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

## Provider details

- **NPI number:** 1124909882
- **Authorized official:** MISSY IFFORD (LICENSEE)
- **Authorized official phone:** (424) 391-0041

## Contact information

- **Practice address:** 6222 W AVENUE J9, LANCASTER, CA 93536-1735
- **Practice address phone:** (424) 391-0041
- **Mailing address:** 6222 W AVENUE J9, LANCASTER, CA 93536-1735
- **Mailing address phone:** (424) 391-0041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/09/2025
- **Last updated:** 09/09/2025