Tyler Residential Care Inc.
NPI #1831476589 in Buena Park, California
Provider Information
- NPI Number
- 1831476589
- Entity Type
- Organization
- Organization Name
- Tyler Residential Care Inc.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 9, 2011
- Last Updated
- Nov 9, 2011
Practice Location
- Address
- 6052 WESTERN AVE
- City
- Buena Park
- State
- California
- ZIP Code
- 90621-2325
- Phone
- (714) 521-0140
Authorized Official
- Name
- MR. BENJAMIN TOLENTINO PENALOSA, ADMINISTRATOR
- Title
- PRESIDENT
- Phone
- (714) 394-7652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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