| NPI | 1366253320 |
|---|---|
| Doing Business As | ALTAMESE FAMILY HOME AT IDA ST |
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL Administrator 909-919-4397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |