Organization
DEBOER HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANN DEBOER (LICENSEE)
(559) 350-3695
Entity
Organization
Contact information
Practice address
2211 W ORANGE AVE, PORTERVILLE, CA 93257-7305
(559) 791-9481
(559) 781-8336
Mailing address
2211 W ORANGE AVE, PORTERVILLE, CA 93257-7305
(559) 791-9481
(559) 781-8336
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
550001291
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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