# PRIOR BOARD & CARE

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

## Provider details

- **NPI number:** 1336371061
- **Authorized official:** MAE LOIS PRIOR (OWNER & LICENESSE)
- **Authorized official phone:** (951) 205-5336

## Contact information

- **Practice address:** 6121 JUPITER DR., MIRA LOMA, CA 91752
- **Practice address phone:** (951) 685-4912
- **Practice address fax:** (951) 685-4912
- **Mailing address:** 6121 JUPITER, MIRA LOMA, CA 91752
- **Mailing address phone:** (951) 685-4912
- **Mailing address fax:** (951) 685-4912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 330908249 | CA | Yes |

## Other

- **Enumeration date:** 08/13/2009
- **Last updated:** 08/13/2009