Organization
MOUNTAIN VIEW CHILD CARE, INC
Active
Other names
Lilac Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOY BERKOMPAS (CEO-PRESIDENT)
(909) 796-6915
Entity
Organization
Contact information
Practice address
1886 S LILAC CT, LOMA LINDA, CA 92354-1759
(909) 796-6915
(909) 796-1285
Mailing address
1720 MOUNTAIN VIEW AVE, LOMA LINDA, CA 92354-1727
(909) 796-6915
(909) 796-1285
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80301F
—
CA
Enumeration date
03/05/2007
Last updated
08/22/2020
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