Organization
LAVENTIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENAKENO AMAGADA (DIRECTOR)
(443) 929-3507
Entity
Organization
Contact information
Practice address
111 W HARRISON ST UNIT 334, CORONA, CA 92878-3407
(443) 929-3507
Mailing address
111 W HARRISON ST UNIT 334, CORONA, CA 92878-3407
(443) 929-3507
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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