Habilitative Homes Residential Care Facility
NPI #1891167912 in Lakeside, California
Provider Information
- NPI Number
- 1891167912
- Entity Type
- Organization
- Organization Name
- Habilitative Homes Residential Care Facility
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 28, 2015
- Last Updated
- Mar 16, 2016
Practice Location
- Address
- 11775 WALNUT RD
- City
- Lakeside
- State
- California
- ZIP Code
- 92040-5624
- Phone
- (619) 270-4484
Authorized Official
- Name
- DAVID CLARENCE LARSON
- Title
- LICENEE/OWNER/ADMINISTRATOR
- Phone
- (619) 456-3742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
| Custodial Care Facility - Adult Care Home — Adult Care Home |
| Assisted Living Facility |
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