NPI 1801911797

Holly House

Organisation Intellectual Disabilities Intermediate Care Facility Rialto, CA

Practice location

Address: 773 E Holly St, Rialto, CA 92376-4520
Phone: (909) 874-7690
Fax: (909) 874-8689
Mailing address: 3674 Pacific Ave, Riverside, CA 92509-1948

Authorised official

Name: Cheryl Jumonville
Title: Exec Vice President
Phone: (951) 682-4833

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1801911797
Entity type: Organization
NPI issued: 20 Mar 2007
Record last updated: 22 Aug 2020

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.