# AKLAN MEADOWS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AMI-Holly House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851522098
- **Authorized official:** MR. VERGEL I SANTOS (C.E.O.)
- **Authorized official phone:** (909) 229-7563

## Contact information

- **Practice address:** 15340 HOLLY DR, FONTANA, CA 92335-5387
- **Practice address phone:** (909) 574-2577
- **Practice address fax:** (909) 822-2405
- **Mailing address:** 15340 HOLLY DR, FONTANA, CA 92335-5387
- **Mailing address phone:** (909) 574-2577
- **Mailing address fax:** (909) 822-2405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 366409901 | CA | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 08/06/2009