Casa Del Mar Group Home
NPI #1689850802 in Orcutt, California
Provider Information
- NPI Number
- 1689850802
- Entity Type
- Organization
- Organization Name
- Casa Del Mar Group Home
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 17, 2008
- Last Updated
- Jan 17, 2008
Practice Location
- Address
- 4615 CAMEO DR
- City
- Orcutt
- State
- California
- ZIP Code
- 93455-4552
- Phone
- (805) 934-5974
Authorized Official
- Name
- MR. LES JOSEPH IVERSON, MASTERS
- Title
- ADMINISTRATOR
- Phone
- (805) 934-5974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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