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Organization
GRAPEVINE HOME HEALTH SERVICES, INC.
Active
Organization
GRAPEVINE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE D RUIZ (CFO)
(909) 483-6505
Entity
Organization
Contact information
Practice address
8459 WHITE OAK AVE, SUITE 103, RANCHO CUCAMONGA, CA 91730-3872
(909) 483-6505
(909) 944-3250
Mailing address
8459 WHITE OAK AVE, SUITE 103, RANCHO CUCAMONGA, CA 91730-3872
(909) 483-6505
(909) 944-3250
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000797
CA
Other
Enumeration date
08/27/2013
Last updated
02/27/2014
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