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
- State
- California
- 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, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child |
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