Organization
NICKS MAPLE HOME LLC
Active
Other names
Nicks Maple Home #2
Organization subpart
No
Provider details
NPI number
Authorized official
NAJEH HAMED ADMIN (CEO)
(786) 219-6008
Entity
Organization
Contact information
Practice address
1065 W HUFF ST, RIALTO, CA 92376-6826
(909) 440-5252
Mailing address
1065 W HUFF ST, RIALTO, CA 92376-6826
(786) 219-6008
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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