PASA ALTA MANOR
Residential Treatment Facilities at Fair Oaks Ave, Pasadena, CA

License number
California 191204078
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
License number
California 197600074
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
California 191222713
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: DEWALT BROWN MBA
Title: CEO
Phone: (626) 926-3519
Address
Address
1790 N Fair Oaks Ave, Pasadena, CA 91103
National Provider ID: 1336426717
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Pasa Alta Manor

Pasadena, CA

Industry:
Residential Care Svcs Assisted Living
Registration:
Dec 3, 1979
Phone:
(626) 798-6986 (Phone)
Addresses:
1792 N Fair Oaks Ave, Pasadena, CA 91103
1781-1792 N Fair Oaks Ave, Pasadena, CA 91103 (Physical)
1790 N Fair Oaks Ave, Pasadena, CA 91103
1781 N Fair Oaks Ave, Pasadena, CA 91103
State ID:
C0946800
Business type:
Articles of Incorporation
President:
Dewalt Brown (President)

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