Organization
CORTES SMALL FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLANCA ESTELA CORTES (OWNER/ADMINISTRATOR)
(951) 343-7242
Entity
Organization
Contact information
Practice address
5251 ALMAR ST, RIVERSIDE, CA 92505-2530
(951) 343-7242
(951) 343-1140
Mailing address
5251 ALMAR ST, RIVERSIDE, CA 92505-2530
(951) 343-7242
(951) 343-1140
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
336407999
CA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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