Organization
PSB HOMES, INC
Active
Other names
Casa de Yorba Linda
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRISCILLA S. BUSTAMANTE DDS (PRESIDENT)
(714) 926-2352
Entity
Organization
Contact information
Practice address
4742 VIA DEL RANCHO, YORBA LINDA, CA 92886-2927
(714) 777-5130
Mailing address
20065 VIA NATALIE, YORBA LINDA, CA 92887-3151
(714) 926-2352
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
55G297
CA
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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