# ELIZABETH G. SANTOS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ELIZABETH HOMES 1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659700474
- **Authorized official:** MRS. ELIZABETH G SANTOS BSE (PRESIDENT)
- **Authorized official phone:** (714) 828-0465

## Contact information

- **Practice address:** 6287 SAN RICARDO WAY, BUENA PARK, CA 90620-2845
- **Practice address phone:** (714) 828-0465
- **Practice address fax:** (714) 736-0931
- **Mailing address:** 6287 SAN RICARDO WAY, BUENA PARK, CA 90620-2845
- **Mailing address phone:** (714) 828-0465
- **Mailing address fax:** (714) 736-0931

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013