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Organization

GLOBAL APPROACH TO DEVELOPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEULEYA RUTH BLE (CHIEF EXECUTIVE OFFICER)
(626) 463-8998
Entity
Organization

Contact information

Practice address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(626) 463-8998
Mailing address
PO BOX 310437, FONTANA, CA 92331-0437
(626) 463-8998

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251V00000X
Voluntary or Charitable Agency
Primary
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
07/07/2022
Last updated
07/07/2022
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