# PURPOSELY CHOSEN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Born for Nia Maternity Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689117327
- **Authorized official:** MRS. DRETONA TENESE MADDOX RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (909) 471-0697

## Contact information

- **Practice address:** 1410 3RD ST, SUITE 2, RIVERSIDE, CA 92507-3482
- **Practice address phone:** (909) 471-0697
- **Practice address fax:** (760) 302-7607
- **Mailing address:** 1410 3RD ST, SUITE 2, RIVERSIDE, CA 92507-3482
- **Mailing address phone:** (909) 471-0697
- **Mailing address fax:** (760) 302-7607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 08/11/2021