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Organization
VANURA HOMEHEALTH SERVICES, INC.
Active
Organization
VANURA HOMEHEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON ALAN TANCUNGCO DE LEON OTR (ADMINISTRATOR)
(909) 989-1230
Entity
Organization
Contact information
Practice address
8213 ROCHESTER AVE, RANCHO CUCAMONGA, CA 91730-0739
(909) 989-1230
(909) 989-0040
Mailing address
8213 ROCHESTER AVE, RANCHO CUCAMONGA, CA 91730-0739
(909) 989-1230
(909) 989-0040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000846
LICENSE NUMBER
CA
05
—
HHA08181F
—
CA
Enumeration date
05/23/2006
Last updated
10/28/2011
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