# LARK SPRING TERRACE INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164669446
- **Authorized official:** MRS. LOURDES OFELIA AGUINALDO ABARIENTOS (CEO/CFO/SECRETARY)
- **Authorized official phone:** (714) 398-6898

## Contact information

- **Practice address:** 22504 LARK SPRING TER, DIAMOND BAR, CA 91765-2956
- **Practice address phone:** (909) 860-2622
- **Practice address fax:** (909) 860-2622
- **Mailing address:** 22504 LARK SPRING TER, DIAMOND BAR, CA 91765-2956
- **Mailing address phone:** (909) 860-2622
- **Mailing address fax:** (909) 860-2622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 04/17/2024