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Organization
TRUE LOVING HEALTH FACILITY
Active
Organization
TRUE LOVING HEALTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MULYATNO (OWNER)
(909) 232-2844
Entity
Organization
Contact information
Practice address
13942 DOMINICAN AVE, MORENO VALLEY, CA 92555-2566
(909) 232-2843
(661) 209-3750
Mailing address
13942 DOMINICAN AVE, MORENO VALLEY, CA 92555-2566
(909) 232-2844
(661) 209-3750
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/03/2026
Last updated
07/14/2026
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