Organization
AKLAN MEADOWS, INC.
Active
Other names
AMI Richardson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERGEL I SANTOS (C.E.O.)
(909) 229-7563
Entity
Organization
Contact information
Practice address
1619 RICHARDSON ST, SAN BERNARDINO, CA 92408-2985
(909) 799-0340
(909) 822-2405
Mailing address
11506 LEATHERLEAF RD, FONTANA, CA 92337-1044
(909) 229-7563
(909) 822-2405
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
366412448
CA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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