Wanda in Rialto - Residential Treatment Facility, Physical Disabilities
Wanda - NPI 1538322656
Wanda is a Residential Treatment Facility, Physical Disabilities in Rialto, California. Wanda practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Wanda is 1538322656. The last update date is 2023-09-06.
Wanda's current location address is 3730 Fernwood Ave, Rialto, California. You can contact this provider via phone number 9098233703 and fax number 9098233703. The mailing address for Wanda is 3730 Fernwood Ave, Rialto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wanda |
|---|---|
| Address | 3730 Fernwood Ave, Rialto, California |
| Phone Number | 9098233703 |
| Fax Number | 9098233703 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LVN |
|---|---|
| Authorized Official Name | Smith Jean Wanda |
| Credentials | LVN |
| Telephone Number | 9094962440 |
NPI Number Detail
| NPI Number | 1538322656 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2023-09-06 |
Provider Mailing Address Detail
| Address | 3730 Fernwood Ave |
|---|---|
| City | Rialto |
| State | California (CA) |
| Post Code | 923772724 |
| Phone Number | 9098233703 |
| Fax Number | 9098233703 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | 320700000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wanda by the Centers for Medicare & Medicaid Services?
The Wanda has been assigned the NPI (National Provider Identifier) 1538322656 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Wanda?
The Wanda is situated at 3730 Fernwood Ave, in the city of Rialto, state of CA, with the zip code 923772724.
What is Wanda's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wanda is Residential Treatment Facility, Physical Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320700000X.
On what date did Wanda receive its 1538322656 assignment from the Centers for Medicare & Medicaid Services?
The Wanda was assigned its 1538322656 on 2008-07-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Wanda's information last updated?
The Wanda's information was last updated on 2023-09-06.
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