ERICA RENE GRAHAM-BULLOCK
NPI 1063284875
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Perris, CA

Q: What is Erica Graham-bullock's NPI number?

The NPI number for Erica Graham-bullock is 1063284875. It was assigned to this individual provider in the NPPES registry on October 25, 2023. The provider is also known as Mrs. Erica Rene Graham-Bullock.

Q: What is Erica Graham-bullock's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since October 25, 2023

3656 GINGER ST, PERRIS, CA 92571(818) 818-1817 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Erica Rene Graham-bullock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICA RENE GRAHAM-BULLOCK (NPI 1063284875) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Perris, California, licensed in California (331881331) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1063284875

Entity TypeIndividualFemale

Primary Taxonomy320600000X

Provider Legal NameERICA RENE GRAHAM-BULLOCK

Location Address3656 GINGER STPerris, CA 92571-7825

Mailing Address3656 Ginger StPerris, CA 92571-7825 · (818) 818-1817

Phone(818) 818-1817

Sole ProprietorYes

Enumeration DateOctober 25, 2023

NPPES CertifiedOctober 25, 2023

✔ NPI 1063284875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in CA · 331881331

Definition

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.

3656 GINGER ST, Perris, CA 92571

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Other Names 1

Other Name (5)Mrs. Erica Rene Graham-bullock

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA B INDEPENDENT LIVING FACILITY

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3656 GINGER ST
PERRIS, CA 92571

Riverside County (951) 226-1750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Graham-bullock's NPI number?

The NPI number for Erica Graham-bullock is 1063284875. It was assigned to this individual provider in the NPPES registry on October 25, 2023. The provider is also known as Mrs. Erica Rene Graham-Bullock.

Where is Erica Graham-bullock located?

Erica Graham-bullock practices at 3656 Ginger St, Perris, CA 92571. The listed phone number is (818) 818-1817.

What is Erica Graham-bullock's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Erica Graham-bullock was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.