Organization · Type 2 NPI

Holly House

Intellectual Disabilities Intermediate Care Facility · Rialto, CA

NPI number 1801911797 Active

Practice location

773 E Holly St
Rialto, CA 92376-4520

Call (909) 874-7690 Map

Fax (909) 874-8689

Mailing address

3674 Pacific Ave
Riverside, CA 92509-1948

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1801911797

Holly House's National Provider Identifier is 1801911797, issued on Mar 20, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Rialto, CA. The record was last updated on Aug 22, 2020.