Organization
IDEAL CARE & HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS U VINHELLENS (EXECUTIVE DIRECTOR)
(909) 865-0191
Entity
Organization
Contact information
Practice address
4 VILLAGE LOOP RD STE B10, POMONA, CA 91766-4891
(909) 865-0191
(909) 865-0193
Mailing address
4 VILLAGE LOOP RD STE B10, POMONA, CA 91766-4891
(909) 865-0191
(909) 865-0193
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190544AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190544AN
AOD CERTIFICATION
CA
Enumeration date
05/08/2007
Last updated
09/14/2011
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