# D&D KERR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Villa Annex
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750510038
- **Authorized official:** MR. DONALD WILLIAM KERR (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (909) 946-6831

## Contact information

- **Practice address:** 867 E 11TH ST, UPLAND, CA 91786-4867
- **Practice address phone:** (909) 946-6831
- **Mailing address:** PO BOX 1418, UPLAND, CA 91785-1418
- **Mailing address phone:** (909) 946-6831
- **Mailing address fax:** (909) 946-6351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 360904823 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 07/08/2009