Organization · Type 2 NPI
Wanda
Physical Disabilities Residential Treatment Facility · Rialto, CA
NPI number
1538322656
Active
Practice location
3730 Fernwood Ave
Rialto, CA 92377-2724
Fax (909) 823-3703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 320700000X (CA) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1538322656
Wanda's National Provider Identifier is 1538322656, issued on Jul 9, 2008. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Rialto, CA. The record was last updated on Sep 6, 2023.