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Organization

LOOP VILLAGE INC

Active
Other names
Loop, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA BOTHAM (CEO)
(323) 459-4956
Entity
Organization

Contact information

Practice address
15765 LA MAR CT, MORGAN HILL, CA 95037-5669
(323) 459-4956
Mailing address
415 S ROSSMORE AVE, LOS ANGELES, CA 90020-4741
(323) 459-4956

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
372600000X
Adult Companion
Primary

Other

Enumeration date
02/04/2022
Last updated
10/14/2022
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