Organization
D&D MANOR INC.
Active
Parent organization
D&D MANOR INC.
Other names
JKC Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
D&D MANOR INC.
Authorized official
MR. DOMINGO BERMUDEZ ABARQUEZ (PRESIDENT)
(562) 866-3324
Entity
Organization
Contact information
Practice address
15561 ASHGORVE DRIVE, LA MIRADA, CA 90638
(714) 994-3497
Mailing address
5419 LORELEI AVE, LAKEWOOD, CA 90712-2036
(562) 866-3324
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
306003493
CA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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