Prior Board & Care
NPI #1336371061 in Mira Loma, California
Provider Information
- NPI Number
- 1336371061
- Entity Type
- Organization
- Organization Name
- Prior Board & Care
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 13, 2009
- Last Updated
- Aug 13, 2009
Practice Location
- Address
- 6121 JUPITER DR.
- City
- Mira Loma
- State
- California
- ZIP Code
- 91752
- Phone
- (951) 685-4912
Authorized Official
- Name
- MAE LOIS PRIOR
- Title
- OWNER & LICENESSE
- Phone
- (951) 205-5336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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