Professional Health Care Provider
Home Health in Diamond Bar, CA. Organization (NPI-2).
NPI number1881985232
StatusActive
Last updated in NPPESApr 20, 2011
Details
- NPI
- 1881985232
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Health Care Provider
- Organization subpart
- No
- Enumeration date
- Apr 20, 2011
- Last updated
- Apr 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 980001445 | CA | Yes |
Practice location
406 S Prospectors RdDiamond Bar, CA 91765-1659
Phone 909-860-3080 · Fax 909-860-3008
Mailing address
406 S Prospectors RdDiamond Bar, CA 91765-1659
Phone 909-860-3080 · Fax 909-860-3008
Authorized official
Rosita Cruz Ford
Administrator
9098603080
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All 21 Home Health Agency providers in Diamond Bar · All 889 providers in Diamond Bar
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