Organization · Type 2 NPI

Peppermint Ridge Dudley Home

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Corona, CA

NPI number 1942532262 Active

Practice location

4289 Shoalcreek Dr
Corona, CA 92883-0724

Call (951) 273-7320 Map

Fax (951) 737-0726

Mailing address

825 Magnolia Ave
Corona, CA 92879-3129

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1942532262

Peppermint Ridge Dudley Home's National Provider Identifier is 1942532262, issued on Feb 11, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Corona, CA. The record was last updated on Feb 11, 2010.