Organization
COMMUNITY EDUCATION ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILLY DANIEL (CEO)
(909) 224-4581
Entity
Organization
Contact information
Practice address
1762 STORRS PL, POMONA, CA 91766-4131
(909) 868-0408
Mailing address
PO BOX 98, CHINO HILLS, CA 91709-0004
(909) 224-4581
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960001403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC61035F
—
CA
Enumeration date
01/26/2007
Last updated
08/19/2013
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