Organization · Type 2 NPI
Our Lady of Guadalupe
Intellectual Disabilities Intermediate Care Facility · Port Hueneme, CA
NPI number
1447224381
Active
Practice location
1474 N 5th St
Port Hueneme, CA 93041-2205
Fax (805) 487-9757
Mailing address
2311 E Chevy Chase Dr
Glendale, CA 91206-1811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Port Hueneme
About NPI 1447224381
Our Lady of Guadalupe's National Provider Identifier is 1447224381, issued on Feb 15, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Port Hueneme, CA. The record was last updated on Aug 22, 2020.