Organization
ALPHA RESIDENTIAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT OKORAFOR (PRESIDENT)
(909) 815-1129
Entity
Organization
Contact information
Practice address
1760 BUCHANAN DR, POMONA, CA 91767-3145
(909) 622-1800
(909) 622-2090
Mailing address
1760 BUCHANAN DR, POMONA, CA 91767-3145
(909) 622-1800
(909) 622-2090
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/03/2009
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