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Organization

KENO HOME HEALTH AGENCY, LLC

Active
Other names
Keno Home Health Agency, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. QUEEN OLOMU LVN (PRESIDENT/OWNER/ ADMISTRATOR)
(909) 948-8562
Entity
Organization

Contact information

Practice address
1113 ALTA AVE STE 104, UPLAND, CA 91786-2803
(909) 948-8562
(909) 948-8590
Mailing address
1113 ALTA AVE STE 104, UPLAND, CA 91786-2803
(909) 948-8562
(909) 948-8590

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/11/2011
Last updated
03/27/2024
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