Organization
LOVING OUR VALOROUS ELDERLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYKESHA BLAIR (OWNER)
(800) 549-1240
Entity
Organization
Contact information
Practice address
11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730-4933
(800) 549-1240
Mailing address
11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730-4933
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
05/05/2023
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