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Medicl Facility ID: 14000742104722502091

Facility Business Name: IDEAL HOME CARE INC ( LA VERNE, CA )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id14000742104722502091
Facility NameIDEAL HOME CARE INC
Address Line2117 FOOTHILL BLVD SUITE J
CityLA VERNE
StateCA
Zip91750
Phone909-392-2205
TypeHome Health
CMS Certification Number557774