Gardena House
NPI #1013032606 in Rialto, California
Provider Information
- NPI Number
- 1013032606
- Entity Type
- Organization
- Organization Name
- Gardena House
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1041 N GARDENA AVE
- City
- Rialto
- State
- California
- ZIP Code
- 92376-4214
- Phone
- (909) 874-7690
Authorized Official
- Name
- MS. CHERYL B JUMONVILLE
- Title
- EXEC VICE PRESIDENT
- Phone
- (951) 682-4833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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