Organization
ERICA B INDEPENDENT LIVING FACILITY
Active
Other names
ERICA B INDEPENDENT LIVING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA RENE GRAHAM-BULLOCK (OWNER- ADMINISTRATOR)
(951) 226-1750
Entity
Organization
Contact information
Practice address
3656 GINGER ST, PERRIS, CA 92571-7825
(951) 226-1750
(951) 200-4761
Mailing address
3656 GINGER ST, PERRIS, CA 92571-7825
(951) 226-1750
(951) 200-4761
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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