| David & Margaret Home, Inc. | |
|
1264 N San Dimas Canyon Rd San Dimas CA 91773-1223 | |
| (909) 480-8900 | |
| (909) 599-1329 |
| Full Name | David & Margaret Home, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1264 N San Dimas Canyon Rd, San Dimas, 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. 1264 N San Dimas Canyon Rd San Dimas CA 91773-1223 Ph: (909) 480-8900 |
| NPI Number | 1922444959 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922444959 | NPI | - | NPPES |
| 01227 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7895 (California) | Primary |
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