Organization
INLAND CHRISTIAN HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STIENSTRA (ADMINISTRATOR)
(909) 983-0084
Entity
Organization
Contact information
Practice address
1950 S MOUNTAIN AVE, ONTARIO, CA 91762-6723
(909) 983-0084
(909) 983-0431
Mailing address
1950 S MOUNTAIN AVE, ONTARIO, CA 91762-6723
(909) 983-0084
(909) 983-0431
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT19208F
—
CA
Enumeration date
06/28/2005
Last updated
05/08/2009
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