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Organization
BEACON ON THE HILL
Active
Organization
BEACON ON THE HILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEN COOPER PHD (COO)
(909) 261-2686
Entity
Organization
Contact information
Practice address
4351 LATHAM ST STE 208A, RIVERSIDE, CA 92501-1749
(877) 547-7694
Mailing address
3085 N ASHFORD AVE, RIALTO, CA 92377-3872
(909) 261-2686
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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