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1346979887
SP22INDEPENDENT LIVING LLC
VICTORVILLE, CA
NPI
1346979887
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Entity Type
Organization
Authorized Contact
SANDRA PARKER
Owner
213-442-9068
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
SP22INDEPENDENT LIVING LLC
13191 QUIET CANYONS DR
VICTORVILLE, CA 92395-9239
Phone number: 213-442-9068
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Mailing Address
SP22INDEPENDENT LIVING LLC
13191 QUIET CANYONS DR
VICTORVILLE, CA 92395
Phone number: 213-442-9068
Copy
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