Padua Village Inc
Organization Active NPI Physical Disabilities Residential Treatment Facility · Lucern Valley, CA
NPI 1700969698 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1700969698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Disabilities Residential Treatment Facility 320700000X
- Legal business name
- PADUA VILLAGE INC
- Practice address
- 11981 Midway
Lucern Valley, CA 92356 - Phone
- (760) 248-6245
- Fax
- (760) 247-7354
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Felice Loverso, PHD
- Title
- President & Ceo
- Phone
- (909) 596-7733
National Provider Directory
Locations
11981 Midway Ave
Lucerne Valley, CA 92356
Phone (760) 248-6245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | CA | Yes |
Addresses
Primary practice location
11981 Midway
Lucern Valley, CA 92356
Mailing address
PO Box 6001
Pomona, CA 91769-6001
Phone (909) 596-7733
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.