Organization Name: | C & R GUEST HOMES, INC. |
NPI Number: | 1083859094 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSALINDA C ULIT (LICENSEE/ADMINISTRATOR) |
Mailing Address: | 5581 Monticello Ave Buena Park |
State: | CA US |
Postal Code: | 906211543 |
Phone Number: | 7146701139 |
Fax Number: | 7147394371 |
NPI Enumeration Date: | 12/04/2008 |
NPI Last Update Date: | 12/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | 5550000600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |