Sta Clara INC
NPI #1891399499 in Ontario, California
Provider Information
- NPI Number
- 1891399499
- Entity Type
- Organization
- Organization Name
- Sta Clara INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 24, 2020
- Last Updated
- Nov 24, 2020
Practice Location
- Address
- 817 S OAKS AVENUE
- City
- Ontario
- State
- California
- ZIP Code
- 91762-4733
- Phone
- (909) 638-8871
Authorized Official
- Name
- RICHIE BUENAVENTURA GARCIA
- Title
- LICENSEE, ADMINISTRATOR
- Phone
- (909) 638-8871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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