Wanda
Wanda is a Physical Disabilities Residential Treatment Facility in Rialto, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
3730 Fernwood AveRialto, CA 92377-2724
Phone: (909) 823-3703
Fax: (909) 823-3703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X · Licence 320700000X (CA) |
|---|
Record details
| NPI number | 1538322656 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wanda Smith — Lvn · (909) 496-2440 |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | September 6, 2023 |
| Mailing address | 3730 Fernwood Ave, Rialto, CA 92377-2724 |