| NPI | 1003082595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BARGMANN Vice President 909-483-2505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 040000495) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |