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Organization
MANDIS CARE HOME 2
Active
Organization
MANDIS CARE HOME 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANNY DAVID VALERIANO (EXECUTIVE DIRECTOR)
(714) 685-7888
Entity
Organization
Contact information
Practice address
11451 TRUE WAY, GARDEN GROVE, CA 92840
(714) 636-5527
(714) 636-5527
Mailing address
429 S WESTRIDGE CIRCLE, ANAHEIM, CA 92807-3722
(714) 685-7888
(714) 685-6888
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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