Provider Demographics
NPI:1174014476
Name:INLAND CAREGIVER RESOURCE CENTER
Entity Type:Organization
Organization Name:INLAND CAREGIVER RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:909-514-1404
Mailing Address - Street 1:1430 E COOLEY DR STE 240
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3936
Mailing Address - Country:US
Mailing Address - Phone:909-514-1404
Mailing Address - Fax:909-514-1613
Practice Address - Street 1:1430 E COOLEY DR STE 240
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3936
Practice Address - Country:US
Practice Address - Phone:909-514-1404
Practice Address - Fax:909-514-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management