Organization · Type 2 NPI

Our Lady of Mercy Home

Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Covina, CA

NPI number 1154590495 Active

Practice location

3409 E Hilltonia Dr
West Covina, CA 91792-2934

Mailing address

PO Box 1862
Walnut, CA 91788-1862

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1154590495

Our Lady of Mercy Home's National Provider Identifier is 1154590495, issued on Feb 20, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in West Covina, CA. The record was last updated on Feb 20, 2008.