# VILLA DE MARTIN JUDE HOMES ATLANTA HOUSE

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

## Provider details

- **NPI number:** 1316377229
- **Authorized official:** MR. RAMON LOPEZ (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (714) 746-4294

## Contact information

- **Practice address:** 2204 S ATLANTA ST, ANAHEIM, CA 92802-3905
- **Practice address phone:** (714) 539-0696
- **Mailing address:** 2204 S ATLANTA ST, ANAHEIM, CA 92802-3905
- **Mailing address phone:** (714) 539-0696

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2013
- **Last updated:** 11/14/2013