Organization
HARVEY HOUSE MANOR II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LELA FORCEN (STBA)
(877) 706-2650
Entity
Organization
Contact information
Practice address
11372 SAN JUAN ST, LOMA LINDA, CA 92354-3329
(877) 706-2650
Mailing address
11372 SAN JUAN ST, LOMA LINDA, CA 92354-3329
(877) 706-2650
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
360111BP
CA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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