Organization
BLISSFUL LIVING GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA ALEXANDER (CEO/ADMINISTRATOR)
(909) 303-3314
Entity
Organization
Contact information
Practice address
1206 W 14TH ST, UPLAND, CA 91786-2517
(909) 360-8526
Mailing address
400 N MOUNTAIN AVE, UPLAND, CA 91786-5176
(909) 303-3314
(909) 303-3315
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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