05D2287710 CLIA NUMBER - TELECARE CITRUS HOUSE

Laboratory Demographics

CLIA Number: 05D2287710

Facility Name: TELECARE CITRUS HOUSE

Facility Address:
7725 LEEDS STREET BLDG D
DOWNEY, CA
ZIP 90242
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Facility Phone Number: 562 445-3001

Facility Type: Other - SOCIAL REHAB PRGM

Certificate Type: Waiver

NPI Number: 1023764727

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	05D2287710
LAB Type	Other - SOCIAL REHAB PRGM
Facility Name	TELECARE CITRUS HOUSE
Street	7725 LEEDS STREET BLDG D
City	DOWNEY
State	CA
ZIP	90242
Phone	562 445-3001
CertificateType	4
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024