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Our Lady Of Mercy Home Icf-ddh
Intellectual and/or Developmental Disabilities Residential Treatment Facility in West Covina, California
NPI 1801173026

Our Lady Of Mercy Home Icf-ddh is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Walnut, CA. Our Lady Of Mercy Home Icf-ddh practices in West Covina, CA. The NPI Number for Our Lady Of Mercy Home Icf-ddh is 1801173026 and holds a License No. (California).

The current practice location address for Our Lady Of Mercy Home Icf-ddh is 3845 S Morganfield Ave, West Covina, CA and can be reached out via phone at 909-444-5796 and via fax at 909-594-3604.

Location: 3845 S Morganfield Ave, West Covina, CA, 91788-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801173026
Provider Name
Our Lady Of Mercy Home Icf-ddh
Credential
Provider Entity Type
Organization
Address
3845 S Morganfield Ave, West Covina, CA, 91788-1862
Phone Number
909-444-5796
Fax Number
909-594-3604
Provider Enumeration Date
11/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3845 S Morganfield Ave
City
West Covina
State
California
Zip
91792-3238
Phone Number
909-444-5796
Fax Number
909-594-3604
person
Provider Business Mailing Address Details
Address
3845 S Morganfield Ave
City
West Covina
State
California
Zip
91792-3238
Phone Number
909-444-5796
Fax Number
909-594-3604
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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