Organization
INLAND HOME HEALTH PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE LOUIS YBARDOLAZA (CHIEF FINANCIAL OFFICER)
(909) 948-8731
Entity
Organization
Contact information
Practice address
9221 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5207
(909) 948-8731
(909) 948-8736
Mailing address
9221 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5207
(909) 948-8731
(909) 948-8736
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CA240001913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08239F
—
CA
Enumeration date
02/06/2007
Last updated
12/12/2012
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