# SAGE HEALTHCARE SERVICES INC

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

## Provider details

- **NPI number:** 1982226585
- **Authorized official:** STELLA KEMUNTO ONDIEKI NP (DIRECTOR)
- **Authorized official phone:** (870) 413-1652

## Contact information

- **Practice address:** 10855 CHURCH ST APT 1404, RANCHO CUCAMONGA, CA 91730-8582
- **Practice address phone:** (870) 413-1652
- **Practice address fax:** (316) 661-1769
- **Mailing address:** 10855 CHURCH ST APT 1404, RANCHO CUCAMONGA, CA 91730-8582
- **Mailing address phone:** (870) 413-1652
- **Mailing address fax:** (316) 661-1769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2020
- **Last updated:** 06/23/2020