Organization
BEAUTY FOR ASHES HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI SHONELL HENNING RN (OWNER/ADMINISTATOR)
(909) 687-7100
Entity
Organization
Contact information
Practice address
1131 W 6TH ST STE 229, ONTARIO, CA 91762-1121
(909) 687-7100
Mailing address
1131 W 6TH ST STE 229, ONTARIO, CA 91762-1121
(909) 687-7100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/27/2019
Last updated
10/17/2022
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