Organization
CASA ROSE VILLA INC.
Active
Other names
Rose Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN MCGUIRE (OWNER)
(909) 730-0391
Entity
Organization
Contact information
Practice address
9204 APRICOT AVE, ALTA LOMA, CA 91701-3404
(909) 989-4887
Mailing address
9204 APRICOT AVE, ALTA LOMA, CA 91701-3404
(909) 989-4887
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
366405874
CA
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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