# DEVELOPMENTAL CLIENT CARE

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

## Provider details

- **NPI number:** 1467501304
- **Authorized official:** DR. CARL E ROWE PHARM MD (PRESIDENT)
- **Authorized official phone:** (951) 243-5129

## Contact information

- **Practice address:** 12867 FOXDALE DR, MORENO VALLEY, CA 92553-5674
- **Practice address phone:** (951) 243-5129
- **Practice address fax:** (951) 485-2642
- **Mailing address:** 11751 DAVIS ST, MORENO VALLEY, CA 92557-6316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 250000293 | CA | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LTC60343G | LTC PROVIDER NO. | CA |