Organization
AKLAN MEADOWS, INC
Active
Other names
AMI-Holly House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERGEL I SANTOS (C.E.O.)
(909) 229-7563
Entity
Organization
Contact information
Practice address
15340 HOLLY DR, FONTANA, CA 92335-5387
(909) 574-2577
(909) 822-2405
Mailing address
15340 HOLLY DR, FONTANA, CA 92335-5387
(909) 574-2577
(909) 822-2405
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
366409901
CA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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