# CASA ROSE VILLA INC.

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

## Provider details

- **NPI number:** 1750511028
- **Authorized official:** MRS. LYNN MCGUIRE (OWNER)
- **Authorized official phone:** (909) 730-0391

## Contact information

- **Practice address:** 9204 APRICOT AVE, ALTA LOMA, CA 91701-3404
- **Practice address phone:** (909) 989-4887
- **Mailing address:** 9204 APRICOT AVE, ALTA LOMA, CA 91701-3404
- **Mailing address phone:** (909) 989-4887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 366405874 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2009
- **Last updated:** 07/21/2009