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Organization
PATIENT CARE HOME HEALTH SERVICES, INC
Active
Organization
PATIENT CARE HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORENO PROBADORA DE LA ROSA JR. (PRESIDENT)
(909) 590-4838
Entity
Organization
Contact information
Practice address
12474 CENTRAL AVE STE B, CHINO, CA 91710-2673
(909) 590-4838
(909) 590-4826
Mailing address
12474 CENTRAL AVE STE B, CHINO, CA 91710-2673
(909) 590-4838
(909) 590-4826
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08312F
—
CA
Enumeration date
02/23/2007
Last updated
02/20/2009
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