Organization
DEBOER HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANN DEBOER (LICENSEE)
(559) 350-3695
Entity
Organization
Contact information
Practice address
1371 SAN LUCIA AVE, PORTERVILLE, CA 93257-7000
(559) 791-9481
(559) 781-8336
Mailing address
2211 W ORANGE AVE, PORTERVILLE, CA 93257-7305
(559) 781-8336
(559) 781-8336
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
120000649
CA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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