# MANDIS CARE HOME 2

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

## Provider details

- **NPI number:** 1255427589
- **Authorized official:** MR. MANNY DAVID VALERIANO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (714) 685-7888

## Contact information

- **Practice address:** 11451 TRUE WAY, GARDEN GROVE, CA 92840
- **Practice address phone:** (714) 636-5527
- **Practice address fax:** (714) 636-5527
- **Mailing address:** 429 S WESTRIDGE CIRCLE, ANAHEIM, CA 92807-3722
- **Mailing address phone:** (714) 685-7888
- **Mailing address fax:** (714) 685-6888

## Taxonomy

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

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020