MONTE VISTA CHILD CARE CENTER INC NPI 1417085499

NPI Information

MONTE VISTA CHILD CARE CENTER INC is an intermediate care facility mentally retarded in Upland, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MONTE VISTA CHILD CARE CENTER INC NPI is 1417085499. The provider is registered as an organization entity type.
The provider Is Doing Business As Gibbs Division.

The provider's business location address is:

1463 N ALBRIGHT AVE
UPLAND, CA
ZIP 91786-725
Phone: (909) 624-2774
Fax: (909) 624-6014

The provider's authorized official is Michelle Clarke .
The authorized official title is Director Of Operations and has the following contact phone number (909) 624-2774.

The enumeration date for this NPI number is 3/1/2007 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

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