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Independent Options Inc/third Avenue House - Health Care Facilities in California
Facility Administrator's Fax Number | (909) 949-0257 |
---|---|
Facility Administrator's Phone Number | (909) 981-3104 |
County | SAN BERNARDINO |
District Office That Oversees The Facility | SAN BERNARDINO |
License Number | 240000732 |
Business Name | INDEPENDENT OPTIONS, INC. |
Initial License Date | 3-Sep-98 |
License Effective Date | 12-Jan-19 |
License Expiration Date | 11-Jan-20 |
Entity Type | PROFIT CORP |
Street Number | 1289 |
Street Name | N 3RD AVE |
Local Health Jurisdiction Name | SAN BERNARDINO |
Fips County Code | 071 |
Facility Identification # | 240001687 |
Health Care Facility Name | INDEPENDENT OPTIONS INC/THIRD AVENUE HOUSE |
Facility Type | INTERMEDIATE CARE FACILITY-DD/H/N/CN/IID |
Capacity (Number Or Licensed Beds) | 6 |
Address | 1289 N 3RD AVE |
City | UPLAND |
Zip | 91786 |
Zip9 | 3227 |
Facility Administrator | PETERS, BLAKE C |
Facility Administrator's E-Mail | BPETERS@INDEPENDENTOPTIONS.ORG |
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