Primary Reliance Inc in San Dimas - Assisted Living, Mental Illness
Primary Reliance Inc - NPI 1205950714
Primary Reliance Inc is a Assisted Living, Mental Illness in San Dimas, California. Primary Reliance Inc practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Primary Reliance Inc is 1205950714. The last update date is 2020-08-22.
Primary Reliance Inc's current location address is 1342 Paseo Encinas, San Dimas, California. You can contact this provider via phone number 9095994396. The mailing address for Primary Reliance Inc is 1342 Paseo Encinas, San Dimas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Reliance Inc |
|---|---|
| Address | 1342 Paseo Encinas, San Dimas, California |
| Phone Number | 9095994396 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Green Celestine |
| Telephone Number | 6269661373 |
NPI Number Detail
| NPI Number | 1205950714 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1342 Paseo Encinas |
|---|---|
| City | San Dimas |
| State | California (CA) |
| Post Code | 917734217 |
| Phone Number | 9095994396 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60598F | CA | ENCINAS PROVIDER NO. |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Primary Reliance Inc by the Centers for Medicare & Medicaid Services?
The Primary Reliance Inc has been assigned the NPI (National Provider Identifier) 1205950714 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Primary Reliance Inc is physically located?
The Primary Reliance Inc is physically situated at the following address: 1342 Paseo Encinas, San Dimas, CA, 917734217.
What is Primary Reliance Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Primary Reliance Inc is Assisted Living, Mental Illness, and the taxonomy code that categorizes this field of expertise is 3104A0625X.
On what date did the Primary Reliance Inc receive the assignment of its 1205950714 from the Centers for Medicare & Medicaid Services?
The Primary Reliance Inc was issued its 1205950714 by the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date were the details pertaining to Primary Reliance Inc last refreshed?
The information related to the Primary Reliance Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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