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Organization
CASA ROSE VILLA INC.
Active
Organization
CASA ROSE VILLA INC.
Active
Other names
Rose Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN MCGUIRE (OWNER)
(909) 730-0391
Entity
Organization
Contact information
Practice address
9204 APRICOT AVE, ALTA LOMA, CA 91701-3404
(909) 989-4887
Mailing address
9204 APRICOT AVE, ALTA LOMA, CA 91701-3404
(909) 989-4887
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
366405874
CA
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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