Organization
MAYBERRY'S
Active
Other names
Love beyond Words Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BALLOU-HARDING (OWNER)
(310) 650-0545
Entity
Organization
Contact information
Practice address
14516 TACUBA DR, LA MIRADA, CA 90638-2043
(310) 650-0545
Mailing address
PO BOX 6296, LAKEWOOD, CA 90714-6296
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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