Organization
MAKING LIFE WONDERFUL (MLW), INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LYNN WHITE REGISTERED NURSE (CEO/ADMINISTRATOR)
(909) 201-6169
Entity
Organization
Contact information
Practice address
5558 CAPELLA PL, RANCHO CUCAMONGA, CA 91739-2279
(909) 500-1299
(951) 319-4206
Mailing address
5558 CAPELLA PL, RANCHO CUCAMONGA, CA 91739-2279
(909) 500-1299
(951) 319-4206
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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