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Organization

10 ACRE RANCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ISMAIL JADALLAH (ADMINISTRATOR)
(714) 833-4826
Entity
Organization

Contact information

Practice address
8605 JANET AVE, RIVERSIDE, CA 92503-9212
(877) 228-4679
(951) 602-6655
Mailing address
5953 GRAND AVE, RIVERSIDE, CA 92504-1369
(800) 266-7044
(951) 784-7084

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
CA

Other

Enumeration date
06/10/2014
Last updated
07/21/2022
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