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Organization
CITADEL COMMUNITY DEVELOPMENT CORPORATION
Active
Organization
CITADEL COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
Citadel Economic Development Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DONISE JACKSON (CHAIRMAN OF THE BOARD)
(909) 992-0929
Entity
Organization
Contact information
Practice address
937 VIA LATA, SUITE 500, COLTON, CA 92324-3958
(909) 992-0929
(909) 992-0932
Mailing address
568 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401-1231
(909) 992-0929
(909) 992-0932
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
09/04/2014
Last updated
04/21/2022
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