Villa Esperanza Services
Intermediate Care Facility, Intellectual Disabilities in Pasadena, CA. Organization (NPI-2).
NPI number1780166207
StatusActive
Last updated in NPPESAug 31, 2018
Details
- NPI
- 1780166207
- Entity type
- Organization (NPI-2)
- Legal business name
- Villa Esperanza Services
- Organization subpart
- No
- Enumeration date
- Aug 31, 2018
- Last updated
- Aug 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
1920 E Villa StPasadena, CA 91107-2333
Phone 626-796-9842 · Fax 626-449-2850
Mailing address
2116 E Villa StPasadena, CA 91107-2435
Phone 626-449-2919 · Fax 626-449-2850
Authorized official
Damion Lee
Residential Director
6264492919
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