Organization
WP HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSARA CHANTHARASETH (OWNER)
(657) 722-9269
Entity
Organization
Contact information
Practice address
11949 TRIBUTARY WAY, JURUPA VALLEY, CA 91752-2764
(657) 722-9269
Mailing address
6305 NOBURY CT, EASTVALE, CA 92880-8567
(657) 722-9269
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
07/11/2025
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