# MAKING LIFE WONDERFUL (MLW), INC

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

## Provider details

- **NPI number:** 1235830449
- **Authorized official:** MRS. MICHELLE LYNN WHITE REGISTERED NURSE (CEO/ADMINISTRATOR)
- **Authorized official phone:** (909) 201-6169

## Contact information

- **Practice address:** 5558 CAPELLA PL, RANCHO CUCAMONGA, CA 91739-2279
- **Practice address phone:** (909) 500-1299
- **Practice address fax:** (951) 319-4206
- **Mailing address:** 5558 CAPELLA PL, RANCHO CUCAMONGA, CA 91739-2279
- **Mailing address phone:** (909) 500-1299
- **Mailing address fax:** (951) 319-4206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 03/14/2023
- **Last updated:** 03/14/2023