Organization · NPI-2

All Of God'S Children'S Group Home

Community/Behavioral Health · Moreno Valley, CA

NPI number1174035430

StatusActive

Last updated in NPPESJan 13, 2021

Details

NPI: 1174035430
Entity type: Organization (NPI-2)
Legal business name: All Of God'S Children'S Group Home
Organization subpart: No
Enumeration date: Oct 26, 2017
Certification date: Jan 13, 2021
Last updated: Jan 13, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes

Practice location

29019 Carillo Ct
Moreno Valley, CA 92555-6501

Phone 951-488-0677 · Fax 951-789-1010

Mailing address

29019 Carillo Ct
Moreno Valley, CA 92555-6501

Phone 951-232-3062 · Fax 951-789-1010

Authorized official

Cheryl Jean Williamson
President
9512323062

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