Organization
INLAND EMPIRE HOMECARE LLC
Active
Other names
Nurse Billboard
Organization subpart
No
Provider details
NPI number
Authorized official
WYNALDA TATAW (PRESIDENT)
(909) 999-1241
Entity
Organization
Contact information
Practice address
4193 FLAT ROCK DR, RIVERSIDE, CA 92505-7111
(909) 999-1241
Mailing address
4193 FLAT ROCK DR, RIVERSIDE, CA 92505-7111
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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