# DOUBLE ACE HOME HEALTH SERVICES, INC.

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

## Provider details

- **NPI number:** 1326117250
- **Authorized official:** MR. RICHARD MIYAKE (ADMINISTRATOR)
- **Authorized official phone:** (909) 476-9922

## Contact information

- **Practice address:** 8459 WHITE OAK AVE, \#104, RANCHO CUCAMONGA, CA 91730-3872
- **Practice address phone:** (909) 476-9922
- **Practice address fax:** (909) 476-0033
- **Mailing address:** 8459 WHITE OAK AVE, SUITE 104, RANCHO CUCAMONGA, CA 91730-3872
- **Mailing address phone:** (909) 476-9922
- **Mailing address fax:** (909) 476-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 240000879 | CA | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 01/06/2012