Our Lady of Guadalupe
NPI #1447224381 in Port Hueneme, California
Provider Information
- NPI Number
- 1447224381
- Entity Type
- Organization
- Organization Name
- Our Lady of Guadalupe
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1474 N 5TH ST
- City
- Port Hueneme
- State
- California
- ZIP Code
- 93041-2205
- Phone
- (805) 487-9757
Authorized Official
- Name
- MS. NORMA VELASCO, PRESIDENT
- Title
- OWNER
- Phone
- (805) 487-9757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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