Organization
M & M GUEST HOME LLC
Active
Other names
mmguesthome
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA SINOBAGO CARBAJAL (ADMINISTRATOR)
(714) 468-2031
Entity
Organization
Contact information
Practice address
1598 W ORANGEWOOD AVE, ANAHEIM, CA 92802-3919
(714) 638-8430
Mailing address
1598 W ORANGEWOOD AVE, ANAHEIM, CA 92802-3919
(714) 638-8430
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
306004185
CA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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