Mariah - Health Care Facilities in California

Health Care Facilities in California

Here you can find all the California healthcare facilities that are operational and have a current license issued by the California Department of Public Health and/or a current U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) certification. (Source: Center for Health Care Quality, California Department of Public Health. 2018. HealthcareFacilities-California_2018-09-05-CA-CDPH).

Search and rate any health care facility in California!

Mariah - Health Care Facilities in California

Facility Administrator's Fax Number	(626)966-0650
Facility Administrator's Phone Number	(760) 242-4908
County	SAN BERNARDINO
District Office That Oversees The Facility	SAN BERNARDINO
License Number	240000753
Business Name	PROVIDENT PLACE
Initial License Date	30-Nov-99
License Effective Date	4-Dec-18
License Expiration Date	3-Dec-19
Entity Type	PROFIT CORP
Street Number	15448
Street Name	MONDAMON RD
Local Health Jurisdiction Name	SAN BERNARDINO
Fips County Code	071
Facility Identification #	240001729
Health Care Facility Name	MARIAH
Facility Type	INTERMEDIATE CARE FACILITY-DD/H/N/CN/IID
Capacity (Number Or Licensed Beds)	8
Address	15448 MONDAMON RD
City	APPLE VALLEY
Zip	92307
Zip9	4557
Facility Administrator	POLLARD, JAMES
Facility Administrator's E-Mail	DAN@PROVIDENTPLACE.COM