# TYLER RESIDENTIAL CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831476589
- **Authorized official:** MR. BENJAMIN TOLENTINO PENALOSA ADMINISTRATOR (PRESIDENT)
- **Authorized official phone:** (714) 394-7652

## Contact information

- **Practice address:** 6052 WESTERN AVE, BUENA PARK, CA 90621-2325
- **Practice address phone:** (714) 521-0140
- **Mailing address:** 525 N GUADALUPE AVE, REDONDO BEACH, CA 90277-2952
- **Mailing address phone:** (714) 394-7652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 306000575 | CA | Yes |

## Other

- **Enumeration date:** 11/09/2011
- **Last updated:** 11/09/2011