| Beloved Housing, Llc | |
|
7795 Cypress Ave Fontana CA 92336-2596 | |
| (760) 285-4188 | |
| Not Available |
| Full Name | Beloved Housing, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7795 Cypress Ave, Fontana, California |
| Authorized Official Name and Position | Colleen Marie Mccoy (CEO) |
| Authorized Official Contact | 7602854188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beloved Housing, Llc 2477 E Bennington St Ontario CA 91761-3873 Ph: (760) 285-4188 | Beloved Housing, Llc 7795 Cypress Ave Fontana CA 92336-2596 Ph: (760) 285-4188 |
| NPI Number | 1043016538 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043016538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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