Organization
JESSIE HOPKINS HINCHEE FOUNDATION
Active
Other names
JESSICA HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN OLVERA (EXECUTIVE DIRECTOR)
(805) 967-7777
Entity
Organization
Contact information
Practice address
7174 ALAMEDA AVE, GOLETA, CA 93117-1352
(805) 685-1236
(805) 685-2326
Mailing address
825 N KELLOGG AVE, SANTA BARBARA, CA 93111-1119
(805) 685-1236
(805) 685-2326
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
50000357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80084F
—
CA
Enumeration date
04/24/2007
Last updated
05/25/2016
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