Providence Respite INC

NPI #1194489237 in Upland, California

Provider Information

NPI Number
1194489237
Entity Type
Organization
Organization Name
Providence Respite INC
Primary Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
Oct 25, 2021
Last Updated
Oct 25, 2021

Practice Location

Address
400 N MOUNTAIN AVE STE 123C
City
Upland
ZIP Code
91786-5176
Phone
(909) 813-3783

Authorized Official

Name
BEATRIZ GABRIELLE
Title
OWNER
Phone
(909) 813-3793

Specialties & Taxonomy Codes

Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child

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