Organization
HORRIGAN ENTERPRISES, INC., KINGSTON HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL TIPTON (DIR OF ADMN SERVICES)
(909) 484-5561
Entity
Organization
Contact information
Practice address
5612 DRESDEN ST, ALTA LOMA, CA 91701-1920
(909) 484-5561
Mailing address
5612 DRESDEN ST, ALTA LOMA, CA 91701-1920
(909) 484-5561
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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