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Organization

LEAN ON GRACE CARE SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEMERICK N. TAKANG (DIRECTOR)
(310) 946-5578
Entity
Organization

Contact information

Practice address
5493 STONEVIEW RD, RANCHO CUCAMONGA, CA 91739-8933
(310) 946-5578
Mailing address
5493 STONEVIEW RD, RANCHO CUCAMONGA, CA 91739-8933
(310) 946-5578

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
385H00000X
Respite Care
Primary

Other

Enumeration date
07/09/2026
Last updated
07/31/2026
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