location
search-icon
institution
Provident Place
Intellectual Disabilities Intermediate Care Facility in Victorville, California
NPI 1588006860

Provident Place is a Intellectual Disabilities Intermediate Care Facility based in Covina, CA. Provident Place practices in Victorville, CA. The NPI Number for Provident Place is 1588006860 and holds a License No. (California).

The current practice location address for Provident Place is 13943 Trigger Ln, Victorville, CA and can be reached out via phone at 760-241-7634.

Location: 13943 Trigger Ln, Victorville, CA, 91724-2950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588006860
Provider Name
Provident Place
Credential
Provider Entity Type
Organization
Address
13943 Trigger Ln, Victorville, CA, 91724-2950
Phone Number
760-241-7634
Fax Number
Provider Enumeration Date
07/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13943 Trigger Ln
City
Victorville
State
California
Zip
92392-6333
Phone Number
760-241-7634
Fax Number
person
Provider Business Mailing Address Details
Address
13943 Trigger Ln
City
Victorville
State
California
Zip
92392-6333
Phone Number
760-241-7634
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.