# INN HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inn Home Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649053299
- **Authorized official:** JUBILANT ENOH AKO (MANAGING DIRECTOR)
- **Authorized official phone:** (310) 242-0652

## Contact information

- **Practice address:** 11632 MOUNT WAVERLY CT, RANCHO CUCAMONGA, CA 91737-7904
- **Practice address phone:** (310) 242-0652
- **Mailing address:** 11632 MOUNT WAVERLY CT, RANCHO CUCAMONGA, CA 91737-7904
- **Mailing address phone:** (310) 242-0652

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 08/17/2023