Provider Demographics
NPI:1194619296
Name:ADULT WORK EXPERIENCES
Entity type:Organization
Organization Name:ADULT WORK EXPERIENCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-898-5733
Mailing Address - Street 1:11840 MAGNOLIA AVE STE G
Mailing Address - Street 2:11840 MAGNOLIA AVE STE G
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-9250
Mailing Address - Country:US
Mailing Address - Phone:951-898-5733
Mailing Address - Fax:844-746-7646
Practice Address - Street 1:11840 MAGNOLIA AVE STE G
Practice Address - Street 2:11840 MAGNOLIA AVE STE G
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-9250
Practice Address - Country:US
Practice Address - Phone:951-898-5733
Practice Address - Fax:844-746-7646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services