NPI 1508376955

Alpha Residential INC

Organisation Intellectual Disabilities Intermediate Care Facility Pomona, CA

Practice location

Address: 692 San Bernardino Ave, Pomona, CA 91767-3244
Phone: (909) 620-2585
Fax: (909) 622-2090
Mailing address: PO Box 2220, Pomona, CA 91769-2220

Authorised official

Name: Vincent Okorafor
Title: President
Phone: (909) 629-1829

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 550002479 (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1508376955
Entity type: Organization
NPI issued: 11 Oct 2017
Record last updated: 17 Mar 2018

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.