Organization
EITTOL, INC.
Active
Other names
Christopher Ranch II
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY SNELLINGS (CHIEF FINANCIAL OFFICER)
(909) 335-3054
Entity
Organization
Contact information
Practice address
1451 STILLMAN AVE, REDLANDS, CA 92374-4164
(909) 335-3054
(909) 335-9744
Mailing address
PO BOX 7680, REDLANDS, CA 92375-0680
(909) 335-3054
(909) 335-9744
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60946F
—
CA
Enumeration date
02/22/2007
Last updated
08/22/2020
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