Organization
SO CAL IN HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA S CLAMOR DOM, LAC (PRESIDENT/CEO)
(909) 272-4950
Entity
Organization
Contact information
Practice address
328 W E ST, ONTARIO, CA 91762-3422
(909) 272-4950
Mailing address
328 W E ST, ONTARIO, CA 91762-3422
(909) 272-4950
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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