Roberts Group Home Inc

NPI 1124250378 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1124250378
Enumeration Date 08/20/2009
Last Updated 08/20/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name HAZEL GERTRUDE HAZEL
Position OWNER/PRESIDENT
Phone (909) 623-3353
Fax (909) 623-1143
Practice Location
1435 EAST GRAND AVE
POMONA CA, 91766, US
Phone (909) 623-3353
Fax (909) 623-1143
Business Location
1435 EAST GRAND AVE
POMONA CA, 91766, US
Phone (909) 623-3353
Fax (909) 623-1143
Toxanomy
Taxonomy Code 320900000X
License State California
License Number 360906027
Remove 1124250378 NPI Number
 

According to our database, Roberts Group Home Inc NPI is 1124250378, taxonomy code is 320900000X and license number is 360906027, license state is located at California. Roberts Group Home Inc physically located at 1435 East Grand Ave, Pomona CA, 91766. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1124250378 NPI number is provided on an as is basis without warranty of any kind. 1124250378 is maintained by the National Plan & Provider Enumeration System. The contents of Roberts Group Home Inc are for informational purposes only.