Southside Manor Inc.

  • 1528298502 NPI Number
  • |
  • Actived: 14 years ago
  • |
Southside Manor Inc. is a health care provider based in Pomona, CA. The NPI Number is 1528298502 and it has been active since 14 years ago. The specialty is Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities services, Southside Manor Inc. is an excellent option. We are here to help you get the care you need.

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Overview of Southside Manor Inc.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 07/23/2009
  • Last updated: 08/26/2009

Primary Scrop of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: 191502984
  • License State: CA

Provider Mailing Address

  • Address: 820 E Grand Ave
    Pomona, CA 91766
  • Phone: 909-623-7305
  • Fax: 909-623-7898

Provider Practice Location

  • Address: 820 E Grand Ave
    Pomona, CA 91766
  • Phone: 909-623-7305
  • Fax: 909-623-7898

Authorized Official

  • Name: James Pardue
  • Position/Title: President
  • Telephone Number: 909-623-7305

Scope of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: 191502984
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 320900000X
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: DOMICILIARY CARE FACITITIY

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Southside Manor Inc.?
  • A: The npi number for Southside Manor Inc. is 1528298502.
  • Q: What are Southside Manor Inc.'s specialties?
  • A: Southside Manor Inc.'s specialties are Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities and different specialities.
  • Q: Where is Southside Manor Inc. business practice location?
  • A: Southside Manor Inc. business practice location is 820 E Grand Ave, Pomona, CA 91766.
  • Q: How to contact Southside Manor Inc.?
  • A: You can contact Southside Manor Inc. via 909-623-7305.
  • Q: What is the authorized official for Southside Manor Inc.?
  • A: The authorized office name is James Pardue with position/title is President and you can reach the authorized official via phone number 9096237305.
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