Organization
HARVEST COMMUNITY IMPACT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOVA MARIE SCOTT (VICE PRESIDENT)
(918) 851-8988
Entity
Organization
Contact information
Practice address
6748 RUNWAY AVE, FONTANA, CA 92336-4157
(918) 851-8988
Mailing address
6748 RUNWAY AVE, FONTANA, CA 92336-4157
(918) 851-8988
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
04/13/2026
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