PROVIDENT PLACE

Intellectual Disabilities Intermediate Care Facility

NPI: 1558703827Organization

Specialties, Licenses & Credentials

Intellectual Disabilities Intermediate Care FacilityPrimary

Intermediate Care Facility, Intellectual Disabilities

Code: 315P00000X

Contact & Hours

Address: 20400 ITUMA RD
APPLE VALLEY, CA 92308
Phone: (760) 961-2880

Location

Practice Location

20400 ITUMA RD, APPLE VALLEY, CA

Quick Facts

NPI: 1558703827
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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