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Organization
SEVBENOA, INC.
Active
Organization
SEVBENOA, INC.
Active
Other names
Scoville Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILAGROS SAMSON (PRESIDENT)
(909) 624-9107
Entity
Organization
Contact information
Practice address
1244 SCOVILLE AVE, POMONA, CA 91767-3450
(909) 624-9107
(909) 350-0495
Mailing address
1244 SCOVILLE AVE, POMONA, CA 91767-3450
(909) 624-9107
(909) 350-0495
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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