Organization
DELIVERANCE HOUSE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA MARIE COLEMAN (EXECUTIVE DIRECTOR)
(916) 202-4415
Entity
Organization
Contact information
Practice address
2386 W. COLLEGE AVE., SAN BERNARDINO, CA 92407-2494
(916) 202-4415
Mailing address
2386 W. COLLEGE AVE., SAN BERNARDINO, CA 92407-2494
(916) 202-4415
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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