Organization
MOUNTAIN VIEW RESIDENTIAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER B. ILAGAN (ADMINISTRATOR)
(909) 822-5174
Entity
Organization
Contact information
Practice address
9073 OLIVE ST, FONTANA, CA 92335-4624
(909) 822-5174
(909) 822-8117
Mailing address
9073 OLIVE ST, FONTANA, CA 92335-4624
(909) 822-5174
(909) 822-8117
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
366409921
CA
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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