Organization
CASA MONTANA LLC
Active
Organization
CASA MONTANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH RUIZ (DIRECTOR BUSINESS DEVELOPMENT)
(626) 701-4635
Entity
Organization
Contact information
Practice address
1922 N MOUNTAIN AVE, CLAREMONT, CA 91711-2605
(626) 962-3274
(626) 337-2969
Mailing address
1758 BIG DALTON AVE, BALDWIN PARK, CA 91706-5910
(626) 962-3274
(626) 337-2969
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/21/2015
Last updated
05/29/2015
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