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Organization
DIAKONIA, INC.
Active
Organization
DIAKONIA, INC.
Active
Parent organization
DIAKONIA INC
Other names
Home of Excellence
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAKONIA INC
Authorized official
TIFFANY MERRITT (ADMINISTRATOR)
(909) 278-4312
Entity
Organization
Contact information
Practice address
2133 N CEDAR AVE, RIALTO, CA 92377-4407
(909) 873-1817
Mailing address
2133 N CEDAR AVE, RIALTO, CA 92377-4407
(909) 873-1817
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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