Gorham House - Health Care Facilities in California

Health Care Facilities in California

Here you can find all the California healthcare facilities that are operational and have a current license issued by the California Department of Public Health and/or a current U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) certification. (Source: Center for Health Care Quality, California Department of Public Health. 2018. HealthcareFacilities-California_2018-09-05-CA-CDPH).

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Gorham House - Health Care Facilities in California

Facility Administrator's Fax Number	(951) 485-6036
Facility Administrator's Phone Number	(951)656-3458
County	RIVERSIDE
District Office That Oversees The Facility	RIVERSIDE
License Number	250000634
Business Name	DEVELOPMENTAL CLIENT CARE INDUSTRIES, INC.
Initial License Date	8-Mar-96
License Effective Date	15-Jun-19
License Expiration Date	14-Jun-20
Entity Type	PROFIT CORP
Street Number	12728
Street Name	GORHAM ST
Local Health Jurisdiction Name	RIVERSIDE
Fips County Code	065
Facility Identification #	250001465
Health Care Facility Name	GORHAM HOUSE
Facility Type	INTERMEDIATE CARE FACILITY-DD/H/N/CN/IID
Capacity (Number Or Licensed Beds)	6
Address	12728 GORHAM ST
City	MORENO VALLEY
Zip	92553
Zip9	5676
Facility Administrator	BJORK, WILLEEN
Facility Administrator's E-Mail	WBARTON@ICARE.BZ