Organization
UNITED CARE PROVIDERS-ST FRANCIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADOLFO J FESTEJO (VP/CFO)
(818) 802-6303
Entity
Organization
Contact information
Practice address
12842 GLENMERE DR, MORENO VALLEY, CA 92553-5985
(951) 242-8106
(951) 601-2216
Mailing address
18409 DANCY ST, ROWLAND HEIGHTS, CA 91748-4755
(818) 802-6303
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80045F
—
CA
Enumeration date
01/28/2006
Last updated
08/22/2020
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