# GAITHER'S FAMILY HOME INC.

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

## Provider details

- **NPI number:** 1508981812
- **Authorized official:** MS. HENRIETTA GAITHER (LICENSEE)
- **Authorized official phone:** (559) 781-0301

## Contact information

- **Practice address:** 590 MCCOMB AVE, PORTERVILLE, CA 93257-1512
- **Practice address phone:** (559) 781-0301
- **Practice address fax:** (559) 686-2693
- **Mailing address:** 1408 S NEWCOMB ST, PORTERVILLE, CA 93257-9354
- **Mailing address phone:** (559) 920-3939
- **Mailing address fax:** (559) 686-2693

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05G961 | — | CA |