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Organization

VILLA DE MARTIN JUDE HOMES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAMON S LOPEZ (PRESIDENT)
(714) 746-4294
Entity
Organization

Contact information

Practice address
520 S ARCHER ST, ANAHEIM, CA 92804-2422
(714) 776-8536
(714) 242-9195
Mailing address
5245 AVENIDA DE KRISTINE, YORBA LINDA, CA 92887-4033
(714) 692-2547
(714) 242-9195

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
CA

Other

Enumeration date
10/23/2006
Last updated
08/22/2020
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