| NPI | 1326255498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BARGMANN Vice President 909-579-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: CA 1200361) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |