Provident Place
Provident Place is an Intellectual Disabilities Intermediate Care Facility in Apple Valley, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
15448 Mondamon RdApple Valley, CA 92307-4557
Phone: (760) 242-4908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1508208877 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dan Aparicio — President · (626) 722-1352 |
| NPI enumerated | July 26, 2013 |
| Last updated in NPPES | July 26, 2013 |
| Mailing address | 964 E Badillo St # 523, Covina, CA 91724-2950 |
Other providers in Apple Valley
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Provident Place
20400 Ituma Rd, Apple Valley, CA 92308-4445 · (760) 961-2880