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Organization
ERICA B INDEPENDENT LIVING FACILITY
Active
Organization
ERICA B INDEPENDENT LIVING FACILITY
Active
Other names
ERICA B INDEPENDENT LIVING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA RENE GRAHAM-BULLOCK (OWNER / ADMINISTRATOR)
(818) 818-1817
Entity
Organization
Contact information
Practice address
3656 GINGER ST, PERRIS, CA 92571-7825
(951) 226-1750
(951) 200-4761
Mailing address
PO BOX 57, PERRIS, CA 92572-0057
(951) 226-1750
(951) 200-4761
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
310400000X
Assisted Living Facility
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
03/22/2024
Last updated
10/02/2026
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