Connie Mae
NPI #1871741082 in Upland, California
Provider Information
- NPI Number
- 1871741082
- Entity Type
- Organization
- Organization Name
- Connie Mae
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Aug 29, 2008
- Last Updated
- Aug 29, 2008
Practice Location
- Address
- 1890 W. ARROW ROUTE
- City
- Upland
- State
- California
- ZIP Code
- 91786
- Phone
- (909) 240-7680
Authorized Official
- Name
- MS. MICHELLE R CLARKE
- Title
- PRESIDENT
- Phone
- (909) 240-7680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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