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Green Merrylands Inc
Physical Disabilities Residential Treatment Facility in Fontana, California
NPI 1952955841

Green Merrylands Inc is a Physical Disabilities Residential Treatment Facility based in Ontario, CA. Green Merrylands Inc practices in Fontana, CA. The NPI Number for Green Merrylands Inc is 1952955841 and holds a License No. (California).

The current practice location address for Green Merrylands Inc is 15986 Baltray Way, Fontana, CA and can be reached out via phone at 909-854-3227.

Location: 15986 Baltray Way, Fontana, CA, 91764-4951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952955841
Provider Name
Green Merrylands Inc
Credential
Provider Entity Type
Organization
Address
15986 Baltray Way, Fontana, CA, 91764-4951
Phone Number
909-854-3227
Fax Number
Provider Enumeration Date
07/29/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
15986 Baltray Way
City
Fontana
State
California
Zip
92336-4546
Phone Number
909-854-3227
Fax Number
person
Provider Business Mailing Address Details
Address
15986 Baltray Way
City
Fontana
State
California
Zip
92336-4546
Phone Number
909-854-3227
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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