Primary Reliance INC
NPI #1205950714 in San Dimas, California
Provider Information
- NPI Number
- 1205950714
- Entity Type
- Organization
- Organization Name
- Primary Reliance INC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1342 PASEO ENCINAS
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-4217
- Phone
- (909) 599-4396
Authorized Official
- Name
- MS. CELESTINE GREEN
- Title
- OWNER
- Phone
- (626) 966-1373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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