Organization
ALPHA RESIDENTIAL INC
Active
Parent organization
ALPHA RESIDENTIAL INC
Other names
ButterField House
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA RESIDENTIAL INC
Authorized official
VINCENT OKORAFOR (PRESIDENT)
(909) 815-1129
Entity
Organization
Contact information
Practice address
1595 W GRAND AVE, POMONA, CA 91766-2506
(909) 815-1129
(909) 622-2090
Mailing address
PO BOX 2220, POMONA, CA 91769-2220
(909) 815-1129
(909) 622-2090
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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