Organization
MONTE VISTA CHILD CARE CENTER
Active
Other names
Beechwood Division
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEISY ODETT MENDOZA (EXECUTIVE DIRECTOR)
(909) 912-9314
Entity
Organization
Contact information
Practice address
7976 BEECHWOOD DR, RANCHO CUCAMONGA, CA 91701-1830
(909) 899-5046
(909) 463-2005
Mailing address
13342 VICTORIA ST, RANCHO CUCAMONGA, CA 91739-2020
(909) 899-5046
(909) 463-2005
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
240000757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60458F
—
CA
05
—
LTC60588F
—
CA
05
—
LTC60599F
—
CA
05
—
LTC60734F
—
CA
05
—
LTC60943F
—
CA
05
—
LTC60961F
—
CA
05
—
LTC60973F
—
CA
05
—
LTC60980F
—
CA
Enumeration date
02/26/2007
Last updated
06/18/2025
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