NPI 1265663801

Lillianna Residential Home

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

Practice location

Address: 2051 Rancho Dr, Riverside, CA 92507-5841
Phone: (951) 780-3924
Mailing address: PO Box 53264, Riverside, CA 92517-4264

Authorised official

Name: Chizuko Kamiyama Altemus
Title: Careprovider
Phone: (951) 780-3924

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 336400918 (CA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1265663801
Entity type: Organization
NPI issued: 30 Jul 2009
Record last updated: 30 Jul 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.