Holly House
NPI #1801911797 in Rialto, California
Provider Information
- NPI Number
- 1801911797
- Entity Type
- Organization
- Organization Name
- Holly House
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 773 E HOLLY ST
- City
- Rialto
- State
- California
- ZIP Code
- 92376-4520
- Phone
- (909) 874-7690
Authorized Official
- Name
- MS. CHERYL JUMONVILLE
- Title
- EXEC VICE PRESIDENT
- Phone
- (951) 682-4833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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