# ROGER'S HOME, INC.

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

## Provider details

- **NPI number:** 1770741241
- **Authorized official:** MR. ALFREDO MENDOZA ILAGAN (PRESIDENT)
- **Authorized official phone:** (951) 733-0762

## Contact information

- **Practice address:** 27180 ROGER ST, HEMET, CA 92544-8312
- **Practice address phone:** (951) 652-9712
- **Practice address fax:** (951) 658-1840
- **Mailing address:** 9835 WILEY BURKE AVE, DOWNEY, CA 90240-3713
- **Mailing address phone:** (562) 927-8043
- **Mailing address fax:** (951) 658-1840

## Taxonomy

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

## Other

- **Enumeration date:** 05/30/2008
- **Last updated:** 05/30/2008