# AGENTS OF HEALING HOMECARE LLC

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

## Provider details

- **NPI number:** 1891413795
- **Authorized official:** KENYA URAINIUS ADAMS (CEO)
- **Authorized official phone:** (909) 539-5659

## Contact information

- **Practice address:** 277 BLOOMINGTON AVE UNIT 219, RIALTO, CA 92376-6494
- **Practice address phone:** (866) 414-6632
- **Mailing address:** PO BOX 1145, SAN BERNARDINO, CA 92402-1145
- **Mailing address phone:** (866) 414-6632

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2022
- **Last updated:** 08/16/2022