Organization
CONGREGATIONAL HOMES
Active
Other names
MT SAN ANTONIO GARDENS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA WILLIAMS C.F.O. (C.F.O.)
(909) 399-1281
Entity
Organization
Contact information
Practice address
900 E HARRISON AVE, POMONA, CA 91767-2075
(909) 624-5061
(909) 626-2126
Mailing address
900 E HARRISON AVE, POMONA, CA 91767-2075
(909) 624-5061
(909) 626-2126
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
191500496
CA
314000000X
Skilled Nursing Facility
Primary
950000078
CA
Other
Enumeration date
11/25/2005
Last updated
07/20/2016
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