Organization
ROGER'S HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO MENDOZA ILAGAN (PRESIDENT)
(951) 733-0762
Entity
Organization
Contact information
Practice address
27180 ROGER ST, HEMET, CA 92544-8312
(951) 652-9712
(951) 658-1840
Mailing address
9835 WILEY BURKE AVE, DOWNEY, CA 90240-3713
(562) 927-8043
(951) 658-1840
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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