# LISMA CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1336853324
- **Authorized official:** BETHSISCA WUTZKE (OWNER)
- **Authorized official phone:** (909) 354-1345

## Contact information

- **Practice address:** 23229 CLAYSTONE AVE, CORONA, CA 92883-5078
- **Practice address phone:** (909) 354-1345
- **Mailing address:** 23229 CLAYSTONE AVE, CORONA, CA 92883-5078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2023
- **Last updated:** 01/13/2023