Organization
DAVID & MARGARET HOME, INC.
Active
Other names
David & Margaret Home, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RICH LCSW (EXECUTIVE DIRECTOR)
(909) 596-5921
Entity
Organization
Contact information
Practice address
1264 N SAN DIMAS CANYON RD, SAN DIMAS, CA 91773-1223
(909) 480-8900
(909) 599-1329
Mailing address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 596-5921
(909) 596-7583
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227
—
CA
Enumeration date
05/16/2013
Last updated
08/31/2016
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