David & Margaret Home, Inc. | |
1350 3rd St La Verne CA 91750-5201 | |
(909) 596-5921 | |
(909) 596-3954 |
Full Name | David & Margaret Home, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 1350 3rd St, La Verne, California |
Authorized Official Name and Position | Charles Rich (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9095965921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David & Margaret Home, Inc. 1350 3rd St La Verne CA 91750-5201 Ph: (909) 596-5921 | David & Margaret Home, Inc. 1350 3rd St La Verne CA 91750-5201 Ph: (909) 596-5921 |
NPI Number | 1407917784 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 08/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407917784 | NPI | - | NPPES |
01227 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 7566A (California) | Primary |
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