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NPI 1306049218

NPI 1306049218 : L&L HOME HEALTHCARE SERVICES, INC. : MONTCLAIR, CA

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General NPI Number Information
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    NPI Number           |    1306049218
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    Entity Type          |    Organization 
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    Legal Business Name  |    L&L HOME HEALTHCARE SERVICES, INC. 
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Dates
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    Enumeration Date     |    06/07/2007
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    Last Update Date     |    08/28/2025
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Provider Practice Location Address
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    Address Line         |    4795 HOLT BLVD STE 202 
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    City                 |    MONTCLAIR
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    State                |    CA
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    Zip                  |    91763-4714
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    Country              |    US
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    Telephone            |    909-447-5999
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    Fax                  |    909-447-5998
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Provider Business Mailing Address
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    Address Line         |    4795 HOLT BLVD STE 202 
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    City                 |    MONTCLAIR
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    State                |    CA
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    Zip                  |    91763-4714
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    Country              |    US
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    Telephone            |    909-447-5999
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    Fax                  |    909-447-5998
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARILYN LOPEZ DOLAN 
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    Credential           |    
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    Telephone            |    909-447-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    CA
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