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Peppermint Ridge Dudley Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Corona, California
NPI 1942532262

Peppermint Ridge Dudley Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Corona, CA. Peppermint Ridge Dudley Home practices in Corona, CA. The NPI Number for Peppermint Ridge Dudley Home is 1942532262 and holds a License No. (California).

The current practice location address for Peppermint Ridge Dudley Home is 4289 Shoalcreek Dr, Corona, CA and can be reached out via phone at 951-273-7320 and via fax at 951-737-0726.

Location: 4289 Shoalcreek Dr, Corona, CA, 92879-3129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942532262
Provider Name
Peppermint Ridge Dudley Home
Credential
Provider Entity Type
Organization
Address
4289 Shoalcreek Dr, Corona, CA, 92879-3129
Phone Number
951-273-7320
Fax Number
951-737-0726
Provider Enumeration Date
02/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4289 Shoalcreek Dr
City
Corona
State
California
Zip
92883-0724
Phone Number
951-273-7320
Fax Number
951-737-0726
person
Provider Business Mailing Address Details
Address
4289 Shoalcreek Dr
City
Corona
State
California
Zip
92883-0724
Phone Number
951-273-7320
Fax Number
951-737-0726
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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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