TONY DEMICO HARRIS MBR

FONTANA, CA
NPI1881256857
Doing Business AsA-Z PRODUCTS AND SERVICES
Entity TypeOrganization
Authorized ContactTONY HARRIS
Chief Exective Officer
909-756-3583
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Additional Taxonomies103G00000X Clinical Neuropsychologist
177F00000X Lodging
251300000X Local Education Agency (LEA)
251B00000X Case Management
251C00000X Day Training, Developmentally Disabled Services
251E00000X Home Health
251T00000X PACE Provider Organization
251X00000X 
261QC1800X Clinic/Center, Corporate Health
261QM2800X Clinic/Center, Methadone Clinic
261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
305R00000X Preferred Provider Organization
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3336M0002X Pharmacy, Mail Order Pharmacy
Enumeration Date2019-07-01
Last Update Date2019-07-01
Business Address
TONY DEMICO HARRIS MBR
8052 TUSCANY ST
FONTANA, CA 92336-3800
Phone number: 909-756-3583
Mailing Address
TONY DEMICO HARRIS MBR
8052 TUSCANY ST
FONTANA, CA 92336-3800
Phone number: 909-756-3583