| Berhe Group Home Inc. | |
|
9836 Mango Ln Fontana CA 92335-6790 | |
| (909) 357-0160 | |
| (909) 402-4348 |
| Full Name | Berhe Group Home Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9836 Mango Ln, Fontana, California |
| Authorized Official Name and Position | Shaunice Cox (OFFICE ASSISTANT) |
| Authorized Official Contact | 9097132016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berhe Group Home Inc. 9836 Mango Ln Fontana CA 92335-6790 Ph: (909) 357-0160 | Berhe Group Home Inc. 9836 Mango Ln Fontana CA 92335-6790 Ph: (909) 357-0160 |
| NPI Number | 1821618844 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821618844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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