Organization · Type 2 NPI
Padua Village Inc
Physical Disabilities Residential Treatment Facility · Lucern Valley, CA
NPI number
1700969698
Active
Practice location
11981 Midway
Lucern Valley, CA 92356
Fax (760) 247-7354
Mailing address
PO Box 6001
Pomona, CA 91769-6001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
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 1700969698
Padua Village Inc's National Provider Identifier is 1700969698, issued on Oct 23, 2006. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Lucern Valley, CA. The record was last updated on Aug 22, 2020.