Organization · Type 2 NPI

Lillianna Residential Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Riverside, CA

NPI number 1265663801 Active

Practice location

2051 Rancho Dr
Riverside, CA 92507-5841

Call (951) 780-3924 Map

Mailing address

PO Box 53264
Riverside, CA 92517-4264

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X336400918 (CA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1265663801

Lillianna Residential Home's National Provider Identifier is 1265663801, issued on Jul 30, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Riverside, CA. The record was last updated on Jul 30, 2009.