# CBL

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

## Provider details

- **NPI number:** 1780084145
- **Authorized official:** CHARMAINE BURNETT (PRESIDENT)
- **Authorized official phone:** (909) 484-0933

## Contact information

- **Practice address:** 9057 ARROW RTE, SUITE 180, RANCHO CUCAMONGA, CA 91730-4452
- **Practice address phone:** (909) 484-0933
- **Practice address fax:** (909) 484-0939
- **Mailing address:** 9057 ARROW RTE, SUITE 180, RANCHO CUCAMONGA, CA 91730-4452
- **Mailing address phone:** (909) 484-0933
- **Mailing address fax:** (909) 484-0939

## Taxonomy

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

## Other

- **Enumeration date:** 09/03/2014
- **Last updated:** 09/03/2014