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Organization

SAINT JOSEPH CARE HOME ICF-DDN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN ALFRED ESTORBA (CHIEF EXECUTIVE OFFICER)
(714) 488-8413
Entity
Organization

Contact information

Practice address
1721 N GREENGROVE ST, ORANGE, CA 92865-4616
(714) 488-8475
Mailing address
1721 N GREENGROVE ST, ORANGE, CA 92865-4616
(714) 488-8475

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
01/10/2023
Last updated
01/10/2023
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