Organization
CALIFORNIA MENTOR
Active
Parent organization
NATIONAL MENTOR, LLC
Other names
National Mentor Healthcare, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR, LLC
Authorized official
MRS. HEATHER DIAZ (PROJECT DIRECTOR)
(909) 948-7385
Entity
Organization
Contact information
Practice address
824 18TH ST, BAKERSFIELD, CA 93301-4824
(661) 322-4085
Mailing address
9166 ANAHEIM PL, SUITE 200, RANCHO CUCAMONGA, CA 91730-8541
(909) 483-2505
(909) 483-2119
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
07000048
CA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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