Organization
VILLA DE MARTIN JUDE HOMES ARCHER 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON LOPEZ (OWNER/ADMINSTRATOR)
(714) 746-4294
Entity
Organization
Contact information
Practice address
320 S ARCHER ST, ANAHEIM, CA 92804-2418
(714) 776-7610
(714) 242-9195
Mailing address
320 S ARCHER ST, ANAHEIM, CA 92804-2418
(714) 776-7610
(714) 242-9195
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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