Organization
HOLY TRINITY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA SISON SEBASTIAN RN (OWNER/QMRP)
(909) 444-5796
Entity
Organization
Contact information
Practice address
3845 S MORGANFIELD AVE, WEST COVINA, CA 91792-3238
(999) 444-5796
(909) 612-7675
Mailing address
3845 S MORGANFIELD AVE, WEST COVINA, CA 91792-3238
(999) 444-5796
(909) 612-7675
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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