Organization · Type 2 NPI
Green Merrylands Inc
Assisted Living Facility · Fontana, CA
NPI number
1952955841
Active
Practice location
15986 Baltray Way
Fontana, CA 92336-4546
Mailing address
800 N Haven Ave Ste 210
Ontario, CA 91764-4951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1952955841
Green Merrylands Inc's National Provider Identifier is 1952955841, issued on Jul 29, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fontana, CA. The record was last updated on Jul 29, 2019.