Organization
HORIZON HOUSE I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA KRUFT (CEO)
(805) 647-4555
Entity
Organization
Contact information
Practice address
2169 ERMINE AVE, VENTURA, CA 93003-6812
(805) 647-4555
(805) 647-0406
Mailing address
2169 ERMINE AVE, VENTURA, CA 93003-6812
(805) 647-4555
(805) 647-0406
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80118F
—
CA
Enumeration date
03/01/2006
Last updated
08/22/2020
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