# MCL GENTLE CARE HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134953144
- **Authorized official:** MAYLENE LIM (CEO)
- **Authorized official phone:** (714) 863-2628

## Contact information

- **Practice address:** 7111 GARDEN GROVE BLVD STE 114, GARDEN GROVE, CA 92841-4295
- **Practice address phone:** (714) 863-2628
- **Mailing address:** 7111 GARDEN GROVE BLVD STE 114, GARDEN GROVE, CA 92841-4295
- **Mailing address phone:** (714) 863-2628

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2024
- **Last updated:** 08/30/2024