TYLER RESIDENTIAL CARE INC. NPI 1831476589

NPI Information

TYLER RESIDENTIAL CARE INC. is a residential treatment facility, intellectual and/or developmental disabilities in Buena Park, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. TYLER RESIDENTIAL CARE INC. NPI is 1831476589. The provider is registered as an organization entity type.
The provider Other Name Is None.

The provider's business location address is:

6052 WESTERN AVE
BUENA PARK, CA
ZIP 90621-325
Phone: (714) 521-0140

The provider's authorized official is Benjamin Tolentino Penalosa .
The authorized official title is President and has the following contact phone number (714) 394-7652.

The enumeration date for this NPI number is 11/9/2011 and was last updated on 11/9/2011.

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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