# SEVBENOA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scoville Villa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164682829
- **Authorized official:** MRS. MILAGROS SAMSON (PRESIDENT)
- **Authorized official phone:** (909) 624-9107

## Contact information

- **Practice address:** 1244 SCOVILLE AVE, POMONA, CA 91767-3450
- **Practice address phone:** (909) 624-9107
- **Practice address fax:** (909) 350-0495
- **Mailing address:** 1244 SCOVILLE AVE, POMONA, CA 91767-3450
- **Mailing address phone:** (909) 624-9107
- **Mailing address fax:** (909) 350-0495

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 06/16/2008