Organization
B&M SUPPORT AND CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY IFFORD (LICENSEE)
(424) 391-0041
Entity
Organization
Contact information
Practice address
6222 W AVENUE J9, LANCASTER, CA 93536-1735
(424) 391-0041
Mailing address
6222 W AVENUE J9, LANCASTER, CA 93536-1735
(424) 391-0041
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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