Organization
LARK SPRING TERRACE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOURDES OFELIA AGUINALDO ABARIENTOS (CEO/CFO/SECRETARY)
(714) 398-6898
Entity
Organization
Contact information
Practice address
22504 LARK SPRING TER, DIAMOND BAR, CA 91765-2956
(909) 860-2622
(909) 860-2622
Mailing address
22504 LARK SPRING TER, DIAMOND BAR, CA 91765-2956
(909) 860-2622
(909) 860-2622
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
04/17/2024
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