Casa del Mar Group Home
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Orcutt, CA
NPI 1689850802 · NPPES record last updated Jan 17, 2008
Key facts
- NPI
- 1689850802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- CASA DEL MAR GROUP HOME
- Practice address
- 4615 Cameo Dr
Orcutt, CA 93455-4552 - Phone
- (805) 934-5974
- Fax
- (805) 934-5974
- NPI assigned
- Jan 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Les Joseph Iverson, MASTERS
- Title
- Administrator
- Phone
- (805) 934-5974
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | CA | Yes |
Addresses
Primary practice location
4615 Cameo Dr
Orcutt, CA 93455-4552
Mailing address
4615 Cameo Dr
Orcutt, CA 93455-4552
Phone (805) 934-5974
Other providers in Orcutt, CA
- Candace Curran Bendele
- Connor Bentley
- Michael I Callis
- Moises Caro
- Mikaela Carrillo
- Eric Castle
- Susan R Catron
- Daniela Ceja Gomez
- Daniel Christensen
- Coast to Coast Medical Transportation
All providers in Orcutt, CA · Intellectual and/or Developmental Disabilities Residential Treatment Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.