Organization
NEW HOPE TRANSITIONAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT LAVERIOUS WILLIAMS (DIRECTOR)
(909) 289-9045
Entity
Organization
Contact information
Practice address
1228 WEST 31ST, SAN BERNARDINO, CA 92405
(909) 289-9045
(909) 402-4181
Mailing address
P.O. BOX 11605, SAN BERNARDINO, CA 92423
(909) 289-9045
(909) 402-4181
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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