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Organization

BEACON ON THE HILL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEN COOPER PHD (COO)
(909) 261-2686
Entity
Organization

Contact information

Practice address
4351 LATHAM ST STE 208A, RIVERSIDE, CA 92501-1749
(877) 547-7694
Mailing address
3085 N ASHFORD AVE, RIALTO, CA 92377-3872
(909) 261-2686

Taxonomy

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

Other

Enumeration date
10/20/2023
Last updated
10/20/2023
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