Provident Place
Provident Place is an Intellectual Disabilities Intermediate Care Facility in Victorville, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
13943 Trigger LnVictorville, CA 92392-6333
Phone: (760) 241-7634
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 | 1588006860 |
|---|---|
| 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 |