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Organization
OUR HOUSE RESIDENTIAL CARE, INC
Active
Organization
OUR HOUSE RESIDENTIAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DAWN LENNEMANN (VICE PRESIDENT OF OPERATIONS)
(559) 674-8670
Entity
Organization
Contact information
Practice address
109 E CENTRAL AVE, MADERA, CA 93638-3109
(559) 674-8670
(559) 673-4825
Mailing address
500 S D ST, MADERA, CA 93638-3857
(559) 673-1922
(559) 673-4825
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
LTC80042F
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
01/25/2024
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