Organization
EPIPHANY CARE HOMES INC
Active
Other names
PELICAN HOME ICF/DD-H
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW STEINORTH (PRESIDENT)
(805) 485-8111
Entity
Organization
Contact information
Practice address
1101 IVYWOOD DR, OXNARD, CA 93030-3415
(805) 485-8111
(805) 485-8170
Mailing address
1331 DORIS AVE, OXNARD, CA 93030-4409
(805) 485-8111
(805) 485-8170
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60434G
—
CA
Enumeration date
02/27/2007
Last updated
09/19/2011
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