Horrigan Enterprises, Inc., Kingston House
NPI #1306995238 in Alta Loma, California
Provider Information
- NPI Number
- 1306995238
- Entity Type
- Organization
- Organization Name
- Horrigan Enterprises, Inc., Kingston House
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5612 DRESDEN ST
- City
- Alta Loma
- State
- California
- ZIP Code
- 91701-1920
- Phone
- (909) 484-5561
Authorized Official
- Name
- CAROL TIPTON
- Title
- DIR OF ADMN SERVICES
- Phone
- (909) 484-5561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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