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K & J 1602 Managment Incorporate
Intellectual Disabilities Intermediate Care Facility in Pomona, California
NPI 1336669803

K & J 1602 Managment Incorporate is a Intellectual Disabilities Intermediate Care Facility based in Pomona, CA. K & J 1602 Managment Incorporate practices in Pomona, CA. The NPI Number for K & J 1602 Managment Incorporate is 1336669803 and holds a License No. (California).

The current practice location address for K & J 1602 Managment Incorporate is 1602 Regene St, Pomona, CA and can be reached out via phone at 909-217-6817.

Location: 1602 Regene St, Pomona, CA, 91766-5316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336669803
Provider Name
K & J 1602 Managment Incorporate
Credential
Provider Entity Type
Organization
Address
1602 Regene St, Pomona, CA, 91766-5316
Phone Number
909-217-6817
Fax Number
Provider Enumeration Date
06/26/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1602 Regene St
City
Pomona
State
California
Zip
91766-5316
Phone Number
909-217-6817
Fax Number
person
Provider Business Mailing Address Details
Address
1602 Regene St
City
Pomona
State
California
Zip
91766-5316
Phone Number
909-217-6817
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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