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L. Marillac Group Home
Intellectual Disabilities Intermediate Care Facility in Diamond Bar, California
NPI 1679781884

L. Marillac Group Home is a Intellectual Disabilities Intermediate Care Facility based in Diamond Bar, CA. L. Marillac Group Home practices in Diamond Bar, CA. The NPI Number for L. Marillac Group Home is 1679781884 and holds a License No. (California).

The current practice location address for L. Marillac Group Home is 23711 Prospect Valley Dr, Diamond Bar, CA and can be reached out via phone at 909-821-3698 and via fax at 909-860-7614.

Location: 23711 Prospect Valley Dr, Diamond Bar, CA, 91765-1637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679781884
Provider Name
L. Marillac Group Home
Credential
Provider Entity Type
Organization
Address
23711 Prospect Valley Dr, Diamond Bar, CA, 91765-1637
Phone Number
909-821-3698
Fax Number
909-860-7614
Provider Enumeration Date
05/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23711 Prospect Valley Dr
City
Diamond Bar
State
California
Zip
91765-1637
Phone Number
909-821-3698
Fax Number
909-860-7614
person
Provider Business Mailing Address Details
Address
23711 Prospect Valley Dr
City
Diamond Bar
State
California
Zip
91765-1637
Phone Number
909-821-3698
Fax Number
909-860-7614
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
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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