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1003573304
AVICENNA HOME CARE AGENCY LLC
RANCHO CUCAMONGA, CA
NPI
1003573304
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Entity Type
Organization
Authorized Contact
ABDOULLAH KABBAJ
Owner
909-319-7475
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2021-11-21
Last Update Date
2021-11-21
Business Address
AVICENNA HOME CARE AGENCY LLC
8273 WHITE OAK AVE STE P
RANCHO CUCAMONGA, CA 91730-7671
Phone number: 909-329-2699
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Mailing Address
AVICENNA HOME CARE AGENCY LLC
8273 WHITE OAK AVE STE P
RANCHO CUCAMONGA, CA 91730-7671
Phone number: 909-329-2699
Copy
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