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Organization
PERPETUAL VENTURES. LLC
Active
Organization
PERPETUAL VENTURES. LLC
Active
Parent organization
HOME INSTEAD
Other names
Home Instead
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME INSTEAD
Authorized official
BRANDI JOHNSON (CEO/OWNER)
(909) 476-9030
Entity
Organization
Contact information
Practice address
9213 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5207
(909) 476-9030
(909) 476-9130
Mailing address
9213 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5207
(909) 476-9030
(909) 476-9130
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364700002
STATE LICENSE
CA
Enumeration date
11/08/2022
Last updated
11/08/2022
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