NPI 1194808261

Villa de Martin Jude Homes, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Anaheim, CA

Practice location

Address: 520 S Archer St, Anaheim, CA 92804-2422
Phone: (714) 776-8536
Fax: (714) 242-9195
Mailing address: 5245 Avenida de Kristine, Yorba Linda, CA 92887-4033

Authorised official

Name: Ramon S Lopez
Title: President
Phone: (714) 746-4294

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1194808261
Entity type: Organization
NPI issued: 23 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.