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Organization
LOVE AND DIVINE HOME CARE
Active
Organization
LOVE AND DIVINE HOME CARE
Active
Parent organization
ABUNDANT LIVING HOME CARE LLC
Other names
A loving and Divine Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABUNDANT LIVING HOME CARE LLC
Authorized official
MRS. LISA M IVANCICH (ADMINISTRATOR)
(916) 945-0241
Entity
Organization
Contact information
Practice address
303 OAK CANYON WAY, FOLSOM, CA 95630-1855
(916) 932-4883
Mailing address
303 OAK CANYON WAY, FOLSOM, CA 95630-1855
(916) 932-4883
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
347005677
CA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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