Organization · NPI-2
Chuquimia'S Enterprises Incorporated
Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Riverside, CA
NPI number1336565308
StatusActive
Last updated in NPPESMar 13, 2014
Details
- NPI
- 1336565308
- Entity type
- Organization (NPI-2)
- Legal business name
- Chuquimia'S Enterprises Incorporated
- Organization subpart
- No
- Enumeration date
- Mar 13, 2014
- Last updated
- Mar 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 336408330 | CA | Yes |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 336408331 | CA |
Practice location
16465 Pick PlRiverside, CA 92504-5641
Phone 951-789-2948
Mailing address
16465 Pick PlRiverside, CA 92504-5641
Phone 951-789-2948
Authorized official
Lidia Olga Chuquimia
President/Ceo
9517769094
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