Luvlee's Residential Care Inc | |
4340 Wilson St Chino CA 91710-3233 | |
(909) 594-2762 | |
Not Available |
Full Name | Luvlee's Residential Care Inc |
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Speciality | Counselor - Professional |
Location | 4340 Wilson St, Chino, California |
Authorized Official Name and Position | Latasha Hardge (ASSITANT DIRECTOR) |
Authorized Official Contact | 9095942762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luvlee's Residential Care Inc Po Box 2232 Walnut CA 91788-2232 Ph: (626) 534-4658 | Luvlee's Residential Care Inc 4340 Wilson St Chino CA 91710-3233 Ph: (909) 594-2762 |
NPI Number | 1669162772 |
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Provider Enumeration Date | 05/11/2023 |
Last Update Date | 05/11/2023 |
Certification Date | 05/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669162772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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