NPI 1003573304
Avicenna Home Care Agency LLC
Practice location
- Address
- 8273 White Oak Ave STE P, Rancho Cucamonga, CA 91730-7671
- Phone
- (909) 329-2699
Authorised official
- Name
- Abdoullah Kabbaj
- Title
- Owner
- Phone
- (909) 319-7475
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1003573304
- Entity type
- Organization
- NPI issued
- 21 Nov 2021
- Record last updated
- 21 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.