Organization
GAITHER'S FAMILY HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HENRIETTA GAITHER (LICENSEE)
(559) 781-0301
Entity
Organization
Contact information
Practice address
1443 HILLCREST AVE, TULARE, CA 93274-2378
(559) 687-0301
(559) 686-2693
Mailing address
1408 S NEWCOMB ST, PORTERVILLE, CA 93257-9354
(559) 920-3939
(559) 686-2693
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
12000628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55G097
—
CA
Enumeration date
03/20/2007
Last updated
08/22/2020
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