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ARROWHEAD COMMUNITY SERVICE INC NPI 1336414143


NPI Information

NPI: 1336414143
Provider Name: ARROWHEAD COMMUNITY SERVICE INC

Doing Business As: ARROWHEAD SENIOR VILLAS

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
1302 E MARSHALL BLVD
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 746-8734
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ARROWHEAD COMMUNITY SERVICE INC is a residential treatment facility physical disabilities in San Bernardino, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. ARROWHEAD COMMUNITY SERVICE INC NPI is 1336414143. The provider is registered as an organization entity type.
The provider Is Doing Business As Arrowhead Senior Villas.

The provider's business location address is:

1302 E MARSHALL BLVD
SAN BERNARDINO, CA
ZIP 92404-705
Phone: (909) 746-8734

The provider's authorized official is Eric Eugene Shaw .
The authorized official title is Owner/ceo and has the following contact phone number (909) 486-4328.

The enumeration date for this NPI number is 3/12/2012 and was last updated on 3/12/2012.


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
1320700000XResidential Treatment Facility, Physical Disabilities366425106CALIFORNIAYes

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: 11/14/2023

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