OUR HOUSE RESIDENTIAL CARE INC NPI 1699874412

NPI Information

OUR HOUSE RESIDENTIAL CARE, INC is an intermediate care facility mentally retarded in Madera, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OUR HOUSE RESIDENTIAL CARE, INC NPI is 1699874412. The provider is registered as an organization entity type.

The provider's business location address is:

109 E CENTRAL AVE
MADERA, CA
ZIP 93638-109
Phone: (559) 674-8670
Fax: (559) 673-4825

The provider's authorized official is Dana Dawn Lennemann .
The authorized official title is Vice President Of Operations and has the following contact phone number (559) 674-8670.

The CLIA number assigned to this NPI record is 05D0969802 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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