Erica B Independent Living Facility
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Perris, CA. Organization (NPI-2).
NPI number1780434829
StatusActive
Last updated in NPPESOct 2, 2026
Details
- NPI
- 1780434829
- Entity type
- Organization (NPI-2)
- Legal business name
- Erica B Independent Living Facility
- Organization subpart
- No
- Enumeration date
- Mar 22, 2024
- Certification date
- Oct 2, 2026
- Last updated
- Oct 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 385H00000X | Respite Care | – | – |
Other names
- Erica B Independent Living Facility (Doing Business As)
Practice location
3656 Ginger StPerris, CA 92571-7825
Phone 951-226-1750 · Fax 951-200-4761
Mailing address
Po Box 57Perris, CA 92572-0057
Phone 951-226-1750 · Fax 951-200-4761
Authorized official
Erica Rene Graham-Bullock
Owner / Administrator
8188181817
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