Mainstream Lifestyles, INC.
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in Moreno Valley, CA. Organization (NPI-2).
NPI number1174315519
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1174315519
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainstream Lifestyles, INC.
- Organization subpart
- No
- Enumeration date
- May 21, 2025
- Certification date
- May 21, 2025
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | Yes |
Practice location
11206 Raymond RdMoreno Valley, CA 92555-6589
Phone 951-333-4893
Mailing address
1887 Business Center Dr # 6aSan Bernardino, CA 92408-3463
Phone 951-333-4893
Authorized official
Lorraine Von Deauxplette
Ceo
9513334893
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