Provider Demographics
NPI:1164761169
Name:MAULIN HOME CARE SERVICES,IINC.
Entity Type:Organization
Organization Name:MAULIN HOME CARE SERVICES,IINC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:O
Authorized Official - Last Name:OJUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-946-9600
Mailing Address - Street 1:1004 W FOOTHILL BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3774
Mailing Address - Country:US
Mailing Address - Phone:909-946-9600
Mailing Address - Fax:909-946-9603
Practice Address - Street 1:1004 W FOOTHILL BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3774
Practice Address - Country:US
Practice Address - Phone:909-946-9600
Practice Address - Fax:909-946-9603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health