Organization
COLTIN CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIT ZARGARYAN (MANAGER)
(818) 307-3675
Entity
Organization
Contact information
Practice address
1616 N ENCINA AVE, RIALTO, CA 92376-2911
(818) 307-3675
Mailing address
1616 N ENCINA AVE, RIALTO, CA 92376-2911
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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