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Providence Respite Inc
Child Intellectual and/or Developmental Disabilities Respite Care in Upland, California
NPI 1194489237

Providence Respite Inc is a Child Intellectual and/or Developmental Disabilities Respite Care based in Upland, CA and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Providence Respite Inc practices in Upland, CA. The NPI Number for Providence Respite Inc is 1194489237 and holds a License No. (California).

The current practice location address for Providence Respite Inc is 400 N Mountain Ave Ste 123C, Upland, CA and can be reached out via phone at 909-813-3783.

Location: 400 N Mountain Ave Ste 123C, Upland, CA, 91786-5176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194489237
Provider Name
Providence Respite Inc
Credential
Provider Entity Type
Organization
Address
400 N Mountain Ave Ste 123C, Upland, CA, 91786-5176
Phone Number
909-813-3783
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 N Mountain Ave Ste 123C
City
Upland
State
California
Zip
91786-5176
Phone Number
909-813-3783
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Mountain Ave Ste 123C
City
Upland
State
California
Zip
91786-5176
Phone Number
909-813-3783
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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