Organization
OUR HOUSE RESIDENTIAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DAWN LENNEMANN (VICE PRESIDENT OF OPERATIONS)
(559) 674-8670
Entity
Organization
Contact information
Practice address
109 E CENTRAL AVE, MADERA, CA 93638-3109
(559) 674-8670
(559) 673-4825
Mailing address
500 S D ST, MADERA, CA 93638-3857
(559) 673-1922
(559) 673-4825
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
LTC80042F
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
01/25/2024
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