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Organization
OUR LADY OF LOURDES HOME HEALTH, INC.
Active
Organization
OUR LADY OF LOURDES HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASOUD SALEHI (PRESIDENT/CEO)
(909) 527-4542
Entity
Organization
Contact information
Practice address
8560 VINEYARD AVE STE 506, RANCHO CUCAMONGA, CA 91730-4350
(909) 527-4543
(909) 527-4544
Mailing address
8560 VINEYARD AVE STE 506, RANCHO CUCAMONGA, CA 91730-4350
(909) 527-4543
(909) 527-4544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
2827180
CA
251E00000X
Home Health Agency
Primary
550000749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05-9337
—
CA
01
—
495500
JCAHO
CA
Enumeration date
08/10/2006
Last updated
12/24/2024
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