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Organization
MJV HEALTH CARE CORP
Active
Organization
MJV HEALTH CARE CORP
Active
Other names
DBA - Our Lady of Fatima Childrens Home
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA A. VELASCO (ASST. ADMINISTRATOR)
(805) 487-9757
Entity
Organization
Contact information
Practice address
981 GILL AVE, PORT HUENEME, CA 93041
(805) 487-7953
(805) 487-9757
Mailing address
981 GILL AVE, PORT HUENEME, CA 93041
(805) 487-7953
(805) 487-9757
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
050000346
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60654
—
CA
Enumeration date
02/15/2006
Last updated
11/14/2008
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