Organization
VILLA DE MARTIN JUDE HOMES ATLANTA HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON LOPEZ (OWNER/ADMINISTRATOR)
(714) 746-4294
Entity
Organization
Contact information
Practice address
2204 S ATLANTA ST, ANAHEIM, CA 92802-3905
(714) 539-0696
Mailing address
2204 S ATLANTA ST, ANAHEIM, CA 92802-3905
(714) 539-0696
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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