OrganizationActive
Providence Respite Inc
NPI 1194489237 · Child Intellectual and/or Developmental Disabilities Respite Care · Upland, CA
Provider details
- NPI number
- 1194489237
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Authorized official
- Beatriz Gabrielle, Owner
Practice location
400 N Mountain Ave Ste 123c
Upland, CA 91786-5176
Phone: (909) 813-3783
Mailing address
400 N Mountain Ave Ste 123c
Upland, CA 91786-5176
Registry dates
- Enumerated
- 2021-10-25
- Last updated
- 2021-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.