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
20400 Ituma RdApple Valley, CA 92308-4445
Phone: (760) 961-2880
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 | 1558703827 |
|---|---|
| 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 | 3604 N Danehurst Ave, Covina, CA 91724-3405 |
Other providers in Apple Valley
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Provident Place
15448 Mondamon Rd, Apple Valley, CA 92307-4557 · (760) 242-4908