Organization
UNITED ACTIONS INC.
Active
Other names
ODESSEY HOME
Organization subpart
No
Provider details
NPI number
Authorized official
JONNA CADE (QMRP/OWNER)
(909) 944-7978
Entity
Organization
Contact information
Practice address
2032 E OLIVE CT, ONTARIO, CA 91764-1648
(909) 941-7422
(909) 944-3788
Mailing address
7119 BERYL ST, RANCHO CUCAMONGA, CA 91701-5621
(909) 944-7978
(909) 944-3788
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60541G
PROVIDER NUMBER
CA
Enumeration date
10/03/2006
Last updated
08/22/2020
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