Whalio Doctors

NPI 1124250378

Roberts Group Home INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pomona, CA

Practice location

Address
1435 East Grand Ave, Pomona, CA 91766
Phone
(909) 623-3353
Fax
(909) 623-1143

Authorised official

Name
Hazel Gertrude Roberts
Title
Owner/President
Phone
(909) 623-3353

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 191501024 (CA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 360906027 (CA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 191592141 (CA)

Registry record

NPI
1124250378
Entity type
Organization
NPI issued
20 Aug 2009
Record last updated
20 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.