Organization
VILLA ESPERANZA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMION LEE (RESIDENTIAL DIRECTOR)
(626) 449-2919
Entity
Organization
Contact information
Practice address
1920 E VILLA ST, PASADENA, CA 91107-2333
(626) 796-9842
(626) 449-2850
Mailing address
2116 E VILLA ST, PASADENA, CA 91107-2435
(626) 449-2919
(626) 449-2850
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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