Organization
SIERRA ADULT HOME
Active
Organization
SIERRA ADULT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR GARZA (CO-OWNER/ LICENSEE)
(951) 353-0423
Entity
Organization
Contact information
Practice address
9530 GARFIELD ST, RIVERSIDE, CA 92503-3631
(951) 353-0423
Mailing address
11440 RANCHO POCONO DR, RIVERSIDE, CA 92505-3592
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
336409401
CA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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