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Peppermint Ridge
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Corona, California
NPI 1063634541

Peppermint Ridge is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Corona, CA. Peppermint Ridge practices in Corona, CA. The NPI Number for Peppermint Ridge is 1063634541 and holds a License No. (California).

The current practice location address for Peppermint Ridge is 825 Magnolia Ave, Corona, CA and can be reached out via phone at 951-273-7320 and via fax at 951-737-0726.

Location: 825 Magnolia Ave, Corona, CA, 92879-3129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063634541
Provider Name
Peppermint Ridge
Credential
Provider Entity Type
Organization
Address
825 Magnolia Ave, Corona, CA, 92879-3129
Phone Number
951-273-7320
Fax Number
951-737-0726
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80322F 01 CA ROGER RESIDENCE
institution
Provider Business Practice Location Address Details
Address
825 Magnolia Ave
City
Corona
State
California
Zip
92879-3129
Phone Number
951-273-7320
Fax Number
951-737-0726
person
Provider Business Mailing Address Details
Address
825 Magnolia Ave
City
Corona
State
California
Zip
92879-3129
Phone Number
951-273-7320
Fax Number
951-737-0726
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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