# LIJALE HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lijale Home Health LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003528001
- **Authorized official:** LILIBETH GUZMAN ROMERO (PRESIDENT)
- **Authorized official phone:** (909) 291-5205

## Contact information

- **Practice address:** 9161 SIERRA AVE STE 203C, FONTANA, CA 92335-4773
- **Practice address phone:** (909) 291-5205
- **Mailing address:** 9161 LOCUST AVE, FONTANA, CA 92335-6074
- **Mailing address phone:** (909) 291-5205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2022
- **Last updated:** 09/06/2024