# VILLA DE MARTIN JUDE HOMES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1194808261
- **Authorized official:** MR. RAMON S LOPEZ (PRESIDENT)
- **Authorized official phone:** (714) 746-4294

## Contact information

- **Practice address:** 520 S ARCHER ST, ANAHEIM, CA 92804-2422
- **Practice address phone:** (714) 776-8536
- **Practice address fax:** (714) 242-9195
- **Mailing address:** 5245 AVENIDA DE KRISTINE, YORBA LINDA, CA 92887-4033
- **Mailing address phone:** (714) 692-2547
- **Mailing address fax:** (714) 242-9195

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020