Erica B Independent Living Facility
NPI #1780434829 in Perris, California
Provider Information
- NPI Number
- 1780434829
- Entity Type
- Organization
- Organization Name
- Erica B Independent Living Facility
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 22, 2024
- Last Updated
- Mar 22, 2024
Practice Location
- Address
- 3656 GINGER ST
- City
- Perris
- State
- California
- ZIP Code
- 92571-7825
- Phone
- (951) 226-1750
Authorized Official
- Name
- ERICA RENE GRAHAM-BULLOCK
- Title
- OWNER- ADMINISTRATOR
- Phone
- (951) 226-1750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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| Provider Name | |
|---|---|
| Erica Rene Graham-Bullock |
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