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Organization
CASA DEL MAR GROUP HOME
Active
Organization
CASA DEL MAR GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LES JOSEPH IVERSON MASTERS (ADMINISTRATOR)
(805) 934-5974
Entity
Organization
Contact information
Practice address
4615 CAMEO DR, ORCUTT, CA 93455-4552
(805) 934-5974
(805) 934-5974
Mailing address
4615 CAMEO DR, ORCUTT, CA 93455-4552
(805) 934-5974
(805) 934-5974
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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