Organization
ROBINSON HOUSE
Active
Parent organization
JANET'S ENTERPRISE
Other names
Robinson House
Organization subpart
Yes
Provider details
NPI number
Legal business name
JANET'S ENTERPRISE
Authorized official
MRS. KATHLEEN J HAYWOOD (OWNER)
(951) 545-4462
Entity
Organization
Contact information
Practice address
904 W 9TH ST, UPLAND, CA 91786-4576
(951) 545-4462
(909) 577-0111
Mailing address
1476 W 9TH ST STE B1, UPLAND, CA 91786-5699
(951) 545-4462
(909) 981-6528
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240000122
—
CA
05
—
24000122
—
CA
Enumeration date
11/26/2019
Last updated
11/26/2019
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