person
Mrs. Paciencia Casim Santos, LICENSEE
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Riverside, California
NPI 1003048315

Paciencia Casim Santos is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Riverside, CA. Paciencia Casim Santos practices in Riverside, CA and has the professional credentials of LICENSEE. The NPI Number for Paciencia Casim Santos is 1003048315 and holds a License No. 336403984 (California).

The current practice location address for Paciencia Casim Santos is 10140 Leucadia Lane, Riverside, CA and can be reached out via phone at 951-687-3140 and via fax at 951-687-3140. You can also correspond with Paciencia Casim Santos through the mailing address at 10140 LEUCADIA LANE, RIVERSIDE, CA - 92503 (mailing address contact number: 951-687-3140).

Location: 10140 Leucadia Lane, Riverside, CA, 92503
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Provider Profile Details
NPI Number
1003048315
Provider Name
Paciencia Casim Santos
Credential
LICENSEE
Provider Entity Type
Individual
Gender
Female
Address
10140 Leucadia Lane, Riverside, CA, 92503
Phone Number
951-687-3140
Fax Number
951-687-3140
Provider Enumeration Date
08/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
336403984 01 CA DEPT OF SOCIAL SERV
institution
Provider Business Practice Location Address Details
Address
10140 Leucadia Lane
City
State
Zip
92503
Phone Number
951-687-3140
Fax Number
951-687-3140
person
Provider Business Mailing Address Details
Address
10140 Leucadia Lane
City
State
Zip
92503
Phone Number
951-687-3140
Fax Number
951-687-3140
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
336403984 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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