Organization · Type 2 NPI
Good Shepherd Lutheran Home of the West
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lake Forest, CA
Practice location
26489 Rancho Pkwy S
Lake Forest, CA 92630-8326
Fax (949) 600-6116
Mailing address
600 Hoffmann Dr
Watertown, WI 53094-6223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1194876359
Good Shepherd Lutheran Home of the West's National Provider Identifier is 1194876359, issued on Jan 15, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lake Forest, CA. The record was last updated on Apr 29, 2008.