Organization
CAREGIVERS ETC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN LOOYSEN RN (OWNER)
(909) 557-7496
Entity
Organization
Contact information
Practice address
33515 PEMBROOK PL, YUCAIPA, CA 92399-3431
(909) 557-7496
(909) 790-6503
Mailing address
33515 PEMBROOK PL, YUCAIPA, CA 92399-3431
(909) 557-7496
(909) 790-6503
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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