Organization
CARRY ME HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CATHERINE CHUA (ADMINISTRATOR)
(909) 904-7003
Entity
Organization
Contact information
Practice address
5787 LITTLE SHAY DR, FONTANA, CA 92336-4593
(909) 904-7003
(909) 945-9799
Mailing address
5787 LITTLE SHAY DR, FONTANA, CA 92336-4593
(909) 904-7003
(909) 945-9799
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/03/2021
Last updated
10/01/2021
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