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Organization
ROBINSON HOUSE
Active
Organization
ROBINSON HOUSE
Active
Parent organization
JANET'S ENTERPRISE
Other names
Robinson House
Organization subpart
Yes
Provider details
NPI number
Legal business name
JANET'S ENTERPRISE
Authorized official
MRS. KATHLEEN J HAYWOOD (OWNER)
(951) 545-4462
Entity
Organization
Contact information
Practice address
904 W 9TH ST, UPLAND, CA 91786-4576
(951) 545-4462
(909) 577-0111
Mailing address
1476 W 9TH ST STE B1, UPLAND, CA 91786-5699
(951) 545-4462
(909) 981-6528
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240000122
—
CA
05
—
24000122
—
CA
Enumeration date
11/26/2019
Last updated
11/26/2019
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