Provider Demographics
NPI:1689250730
Name:FERREES GROUP HOME, INC
Entity Type:Organization
Organization Name:FERREES GROUP HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-322-5688
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:CABAZON
Mailing Address - State:CA
Mailing Address - Zip Code:92230-0570
Mailing Address - Country:US
Mailing Address - Phone:951-849-1927
Mailing Address - Fax:951-849-6888
Practice Address - Street 1:2269 W NICOLET ST
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-3926
Practice Address - Country:US
Practice Address - Phone:951-849-1927
Practice Address - Fax:951-849-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children