Organization
CHERI'S CARE
Active
Other names
TLC Care Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY CHRISTENSEN (ADMINISTRATOR)
(909) 425-5372
Entity
Organization
Contact information
Practice address
7231 BOULDER AVE, SUITE 105, HIGHLAND, CA 92346-3313
(909) 425-5372
(909) 425-9281
Mailing address
7231 BOULDER AVE, SUITE 105, HIGHLAND, CA 92346-3313
(909) 425-5372
(909) 425-9281
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
366427412
CA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
366427413
CA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
366427414
CA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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