Organization · Type 2 NPI
Southside Manor Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pomona, CA
Practice location
820 E Grand Ave
Pomona, CA 91766-3662
Fax (909) 623-7898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 191502984 (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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Pomona
About NPI 1528298502
Southside Manor Inc.'s National Provider Identifier is 1528298502, issued on Jul 23, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Pomona, CA. The record was last updated on Aug 26, 2009.