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EITTOL INC. NPI 1215062104


NPI Information

NPI: 1215062104
Provider Name: EITTOL, INC.

Doing Business As: CHRISTOPHER RANCH

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1256 E CITRUS AVE
REDLANDS, CA
ZIP 92374
Phone: (909) 335-3054
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EITTOL, INC. is an intermediate care facility mentally retarded in Redlands, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EITTOL, INC. NPI is 1215062104. The provider is registered as an organization entity type.
The provider Is Doing Business As Christopher Ranch.

The provider's business location address is:

1256 E CITRUS AVE
REDLANDS, CA
ZIP 92374-331
Phone: (909) 335-3054
Fax: (909) 335-9744

The provider's authorized official is Kelly Snellings .
The authorized official title is Chief Financial Officer and has the following contact phone number (909) 335-3054.

The enumeration date for this NPI number is 2/22/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LTC60885FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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