Organization
CASA EDITHAFOUNDATION INC.
Active
Other names
Avalyn's Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH AVANZADO R.D. (EXECUTIVE DIRECTOR)
(626) 374-7294
Entity
Organization
Contact information
Practice address
1756 N HILL AVE, PASADENA, CA 91104-1429
(626) 794-3916
(626) 696-3929
Mailing address
1756 N HILL AVE, PASADENA, CA 91104-1429
(626) 794-3916
(626) 696-3929
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
191222785
CA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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