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Organization
UNITED NURSING PERSONAL CARE, INC
Active
Organization
UNITED NURSING PERSONAL CARE, INC
Active
Other names
GraceLight Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA ELIZABETH CHAVARRIA (OWNER)
(760) 694-7345
Entity
Organization
Contact information
Practice address
16044 BEAR VALLEY RD STE 5, VICTORVILLE, CA 92395-8981
(760) 241-3800
(760) 241-3855
Mailing address
11039 MESA LINDA ST, VICTORVILLE, CA 92392-4812
(760) 241-3800
(760) 241-3855
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00697717
CNA
CA
Enumeration date
11/04/2010
Last updated
11/05/2015
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