Organization
NORMAL LIFE CALIFORNIA
Active
Other names
FARROLL HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
1108 FARROLL AVE, ARROYO GRANDE, CA 93420-4110
(714) 537-3252
Mailing address
10140 LINN STATION RD, LOUISVILLE, KY 40223-3813
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80121G
—
CA
Enumeration date
02/26/2007
Last updated
08/22/2020
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