Organization
NEW PROVIDENCE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR TOLENTINO (CONSULTANT)
(310) 272-6730
Entity
Organization
Contact information
Practice address
5167 G ST, CHINO, CA 91710-5143
(310) 272-6730
Mailing address
5167 G ST, CHINO, CA 91710-5143
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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