Organization
SAVING GRACE CARE LLC
Active
Organization
SAVING GRACE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DUENAS (OWNER)
(626) 475-8657
Entity
Organization
Contact information
Practice address
3601 E HOLT AVE, WEST COVINA, CA 91791-2358
(626) 475-8657
(626) 628-3900
Mailing address
5502 N LARKIN DR, AZUSA, CA 91702-5717
(626) 475-8657
(626) 628-3900
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8G22203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194700115
DEPARTMENT OF SOCIAL SERVICES-HOMECARE ORGANIZATION LICENSE
—
Enumeration date
08/22/2017
Last updated
08/22/2017
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