Southside Manor Inc
Southside Manor Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pomona, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
820 E Grand AvePomona, CA 91766-3662
Phone: (909) 623-7305
Fax: (909) 623-7898
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 and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 191502984 (CA) |
|---|
Record details
| NPI number | 1528298502 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Pardue — President · (909) 623-7305 |
| NPI enumerated | July 23, 2009 |
| Last updated in NPPES | August 26, 2009 |
| Mailing address | 820 E Grand Ave, Pomona, CA 91766-3662 |
Other providers in Pomona
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Essex Board and Care Facility
11220 Essex Ave, Pomona, CA 91766-4048 · (909) 591-0791
-
Roberts Group Home Inc
1435 E Grand Ave, Pomona, CA 91766 · (909) 623-3353