ERICA R. GRAHAM-BULLOCK – NPI #1063284875
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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.

ERICA GRAHAM-BULLOCK is a residential treatment facility located in PERRIS, CA. NPPES has assigned the NPI number 1063284875 to ERICA GRAHAM-BULLOCK on October 25, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name ERICA RENE GRAHAM-BULLOCK. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ERICA GRAHAM-BULLOCK below.

NPI Profile for
ERICA R. GRAHAM-BULLOCK

NPI Number
1063284875
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ERICA R. GRAHAM-BULLOCK
Other Name: ERICA RENE GRAHAM-BULLOCK
Primary location
3656 GINGER ST
PERRIS, CA 92571-7825
Phone: (818) 818-1817 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Oct 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
CA 331881331

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.