NPI 1538399191

Essex Board and Care Facility

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

Practice location

Address: 11220 Essex Ave, Pomona, CA 91766-4048
Phone: (909) 591-0791

Authorised official

Name: Alfonso a Lota
Title: Administrator
Phone: (909) 591-0791

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 360911118 (CA)

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

Registry record

NPI: 1538399191
Entity type: Organization
NPI issued: 17 Jul 2009
Record last updated: 17 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.