| License Type: | CORPORATION |
| Name: | Pacific Coast Group Homes |
| Mailing Address: | 3204 BISHOP CT ROSEVILLE, CA 95661 |
| License ID: | 02123851 |
| Expiration Date: | 10/07/24 |
| License Status: | LICENSED NBA |
| Corporation License Issued: | 10/08/20 |
| Former Name(s): | NO FORMER NAMES |
| Main Office: | NO CURRENT MAIN OFFICE ADDRESS ON FILE |
| Licensed Officer(s): | DESIGNATED OFFICER 01186358 Vandermyden, David Anthony DECEASED AS OF 01/06/22 |
| DBA | NO CURRENT DBAS |
| Branches: | NO CURRENT BRANCHES |
| Comment: | NO DISCIPLINARY ACTION |
| NO OTHER PUBLIC COMMENTS | |
| >>>> Public information request complete <<<< |