Organization
MONTE VISTA CHILD CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE R CLARKE (DIRECTOR OF OPERATIONS)
(909) 623-2774
Entity
Organization
Contact information
Practice address
9140 MONTE VISTA AVE, MONTCLAIR, CA 91763-1723
(909) 624-2774
(909) 624-6014
Mailing address
9140 MONTE VISTA AVE, MONTCLAIR, CA 91763
(909) 624-2774
(909) 624-6014
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80125
—
CA
05
—
LTC80201
—
CA
05
—
LTC80235
—
CA
05
—
LTC80247
—
CA
05
—
LTC80255
—
CA
05
—
LTC80277
—
CA
05
—
LTC80305
—
CA
05
—
LTC80306
—
CA
05
—
LTC80307
—
CA
Enumeration date
03/01/2007
Last updated
08/22/2020
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