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Organization

CONSUMER'S CHOICE HOME, LLC.

Active
Other names
Love & Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ZENAIDA GABRIEL DY (MEMBER)
(909) 899-5773
Entity
Organization

Contact information

Practice address
13100 RIESLING DR, RANCHO CUCAMONGA, CA 91739-9406
(909) 899-5773
Mailing address
PO BOX 86, RANCHO CUCAMONGA, CA 91739-0086
(909) 899-5773

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
366411418
CA

Other

Enumeration date
07/21/2009
Last updated
07/21/2009
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