Casa Edithafoundation INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pasadena, CA. Organization (NPI-2).
NPI number1093257545
StatusActive
Last updated in NPPESNov 15, 2016
Details
- NPI
- 1093257545
- Entity type
- Organization (NPI-2)
- Legal business name
- Casa Edithafoundation INC.
- Organization subpart
- No
- Enumeration date
- Nov 15, 2016
- Last updated
- Nov 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 191222785 | CA | Yes |
Other names
- Avalyn'S Group Home (Doing Business As)
Practice location
1756 N Hill AvePasadena, CA 91104-1429
Phone 626-794-3916 · Fax 626-696-3929
Mailing address
1756 N Hill AvePasadena, CA 91104-1429
Phone 626-794-3916 · Fax 626-696-3929
Authorized official
Edith Avanzado
Executive Director
6263747294
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