MONTE VISTA CHILD CARE CENTER NPI 1164558714

NPI Information

MONTE VISTA CHILD CARE CENTER is an intermediate care facility mentally retarded in Montclair, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. MONTE VISTA CHILD CARE CENTER NPI is 1164558714. The provider is registered as an organization entity type.
The provider Is Doing Business As Beechwood Division.

The provider's business location address is:

9140 MONTE VISTA AVE
MONTCLAIR, CA
ZIP 91763-723
Phone: (909) 624-2772
Fax: (909) 624-6014

The provider's authorized official is David Hooyenga .
The authorized official title is Owner and has the following contact phone number (909) 624-2774.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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