Organization
C & R GUEST HOMES, INC.
Active
Other names
Monticello Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINDA C ULIT (LICENSEE/ADMINISTRATOR)
(714) 496-9990
Entity
Organization
Contact information
Practice address
5581 MONTICELLO AVE, BUENA PARK, CA 90621-1543
(714) 670-1139
(714) 739-4371
Mailing address
7694 HEATHER CIR, BUENA PARK, CA 90620-1924
(714) 496-9990
(714) 739-4371
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
5550000600
CA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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