Healthcare Provider Details

I. General information

NPI: 1023157534
Provider Name (Legal Business Name): UNLIMITED FRONTIERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 N LINCOLN ST
REDLANDS CA
92374-4146
US

IV. Provider business mailing address

PO BOX 7722
REDLANDS CA
92375-0722
US

V. Phone/Fax

Practice location:
  • Phone: 909-793-0142
  • Fax:
Mailing address:
  • Phone: 909-793-0142
  • Fax: 909-335-6193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. HAROLD L BEES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 909-793-0142