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Wanda
Physical Disabilities Residential Treatment Facility in Rialto, California
NPI 1538322656

Wanda is a Physical Disabilities Residential Treatment Facility based in Rialto, CA. Wanda practices in Rialto, CA. The NPI Number for Wanda is 1538322656 and holds a License No. 320700000X (California).

The current practice location address for Wanda is 3730 Fernwood Ave, Rialto, CA and can be reached out via phone at 909-823-3703 and via fax at 909-823-3703.

Location: 3730 Fernwood Ave, Rialto, CA, 92377-2724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538322656
Provider Name
Wanda
Credential
Provider Entity Type
Organization
Address
3730 Fernwood Ave, Rialto, CA, 92377-2724
Phone Number
909-823-3703
Fax Number
909-823-3703
Provider Enumeration Date
07/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3730 Fernwood Ave
City
Rialto
State
California
Zip
92377-2724
Phone Number
909-823-3703
Fax Number
909-823-3703
person
Provider Business Mailing Address Details
Address
3730 Fernwood Ave
City
Rialto
State
California
Zip
92377-2724
Phone Number
909-823-3703
Fax Number
909-823-3703
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
320700000X (California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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