Organization
MANOR HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LULU AQUINO ADMINISTRATOR (CEO)
(909) 481-7717
Entity
Organization
Contact information
Practice address
9007 ARROW RTE STE 180-B, RANCHO CUCAMONGA, CA 91730-4400
(310) 948-6889
Mailing address
9007 ARROW RTE STE 180, RANCHO CUCAMONGA, CA 91730-4459
(909) 481-7717
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/21/2020
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