| Berhe Group Home, Inc. | |
|
1604 N Pennsylvania Ave San Bernardino CA 92411-1171 | |
| (909) 887-0160 | |
| (909) 890-1043 |
| Full Name | Berhe Group Home, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1604 N Pennsylvania Ave, San Bernardino, California |
| Authorized Official Name and Position | Judy G Berhe (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 9098901041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berhe Group Home, Inc. 1845 Business Center Dr Ste 208 San Bernardino CA 92408-3447 Ph: (909) 890-1041 | Berhe Group Home, Inc. 1604 N Pennsylvania Ave San Bernardino CA 92411-1171 Ph: (909) 887-0160 |
| NPI Number | 1609392729 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 08/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609392729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 366401098 (California) | Primary |
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