Yucaipa Valley Pediatric Living INC
NPI #1649165358 in Yucaipa, California
Provider Information
- NPI Number
- 1649165358
- Entity Type
- Organization
- Organization Name
- Yucaipa Valley Pediatric Living INC
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Jun 11, 2025
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 12193 CUSTER ST
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-4485
- Phone
- (909) 499-0804
Authorized Official
- Name
- HANAH J MALCOLM
- Title
- LICENSEE
- Phone
- (909) 499-0804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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