# GOLDEN HOME HEALTH PROVIDER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306074828
- **Authorized official:** MR. DENNIS G BATTUNG (PRESIDENT/ CEO)
- **Authorized official phone:** (909) 980-9600

## Contact information

- **Practice address:** 8560 VINEYARD AVE STE 103, RANCHO CUCAMONGA, CA 91730-4393
- **Practice address phone:** (909) 980-9600
- **Practice address fax:** (909) 980-3700
- **Mailing address:** 8560 VINEYARD AVE STE 103, RANCHO CUCAMONGA, CA 91730-4393
- **Mailing address phone:** (909) 980-9600
- **Mailing address fax:** (909) 980-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2009
- **Last updated:** 06/23/2009