Organization
INN HOME CARE LLC
Active
Other names
Inn Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUBILANT ENOH AKO (MANAGING DIRECTOR)
(310) 242-0652
Entity
Organization
Contact information
Practice address
11632 MOUNT WAVERLY CT, RANCHO CUCAMONGA, CA 91737-7904
(310) 242-0652
Mailing address
11632 MOUNT WAVERLY CT, RANCHO CUCAMONGA, CA 91737-7904
(310) 242-0652
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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