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Holly House
Intellectual Disabilities Intermediate Care Facility in Rialto, California
NPI 1801911797

Holly House is a Intellectual Disabilities Intermediate Care Facility based in Riverside, CA. Holly House practices in Rialto, CA. The NPI Number for Holly House is 1801911797 and holds a License No. (California).

The current practice location address for Holly House is 773 E Holly St, Rialto, CA and can be reached out via phone at 909-874-7690 and via fax at 909-874-8689.

Location: 773 E Holly St, Rialto, CA, 92509-1948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801911797
Provider Name
Holly House
Credential
Provider Entity Type
Organization
Address
773 E Holly St, Rialto, CA, 92509-1948
Phone Number
909-874-7690
Fax Number
909-874-8689
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2400000518 05 CA
institution
Provider Business Practice Location Address Details
Address
773 E Holly St
City
Rialto
State
California
Zip
92376-4520
Phone Number
909-874-7690
Fax Number
909-874-8689
person
Provider Business Mailing Address Details
Address
773 E Holly St
City
Rialto
State
California
Zip
92376-4520
Phone Number
909-874-7690
Fax Number
909-874-8689
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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