Ettie Lee Homes Pomona
LBN: Ettie Lee Homes, Inc
Ettie Lee Homes Pomona is an health care organization with primary practice located at 160 E Holt Ave Ste B , Pomona CA 91767-5407. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Ettie Lee Homes, Inc can be contacted via phone (909) 620-2521, or through Jarvie, Kellie Marie via phone (626) 383-5334.
Contact Information
Primary practice address
160 E Holt Ave Ste B
Pomona CA 91767-5407
Phone: (909) 620-2521
Fax: (909) 620-9793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | C07933 | California |
Profile Details
| NPI number | 1992890057 |
|---|---|
| LBN Legal business name | Ettie Lee Homes, Inc |
| DBA Doing business as | Ettie Lee Homes Pomona |
| Authorized official | Jarvie, Kellie Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Sep 15th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992890057 | NPPES |
| California | Other | 7008 | DRUG & ALCOHOL |
| California | Other | 7453A | DRUG & ALCOHOL |
| California | Other | 7712A | DRUG & ALCOHOL |
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