# CARE REPUBLIC CCA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Republic CCA LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184499717
- **Authorized official:** JEMALYNE PINO BUNO (OWNER)
- **Authorized official phone:** (909) 317-8207

## Contact information

- **Practice address:** 11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730-4933
- **Practice address phone:** (909) 317-8207
- **Mailing address:** 11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730-4933
- **Mailing address phone:** (909) 317-8207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2023
- **Last updated:** 12/13/2023