# ANAVERDES VILLA, INC

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

## Provider details

- **NPI number:** 1558135939
- **Authorized official:** ERWIN ESTRELLA (ADMINISTRATOR)
- **Authorized official phone:** (661) 526-7000

## Contact information

- **Practice address:** 37335 PAINTBRUSH DR, PALMDALE, CA 93551-6173
- **Practice address phone:** (661) 526-7000
- **Practice address fax:** (888) 878-6958
- **Mailing address:** 37335 PAINTBRUSH DR, PALMDALE, CA 93551-6173
- **Mailing address phone:** (661) 526-7000
- **Mailing address fax:** (888) 878-6958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 11/07/2023