Organization
OUR LADY OF MERCY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA SEBASTIAN (ADMINISTRATOR)
(909) 444-5796
Entity
Organization
Contact information
Practice address
3409 E HILLTONIA DR, WEST COVINA, CA 91792-2934
(909) 444-5796
Mailing address
PO BOX 1862, WALNUT, CA 91788-1862
(909) 444-5796
(909) 444-5796
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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