# CACHUELA ICF/DDN HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OLMSTEAD HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164853008
- **Authorized official:** MR. OSCAR CACHUELA (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (714) 749-5658

## Contact information

- **Practice address:** 1721 N GREENGROVE ST, ORANGE, CA 92865-4616
- **Practice address phone:** (714) 921-2987
- **Mailing address:** 1721 N GREENGROVE ST, ORANGE, CA 92865-4616
- **Mailing address phone:** (714) 921-2987

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2013
- **Last updated:** 12/03/2013