Provider Demographics
NPI:1043583578
Name:DELLA'S CARE FACILITY
Entity Type:Organization
Organization Name:DELLA'S CARE FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARBERDELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:805-338-3276
Mailing Address - Street 1:1501 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-2577
Mailing Address - Country:US
Mailing Address - Phone:805-824-9904
Mailing Address - Fax:
Practice Address - Street 1:1501 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-2577
Practice Address - Country:US
Practice Address - Phone:805-824-9904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances