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Organization
PLUMERIA HOMES
Active
Organization
PLUMERIA HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES BALLESTEROS (MANAGING PARTNER)
(951) 255-1102
Entity
Organization
Contact information
Practice address
211 S LAUREL AVE, ONTARIO, CA 91762-3833
(951) 255-1102
Mailing address
211 S LAUREL AVE, ONTARIO, CA 91762-3833
(951) 255-1102
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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