Organization
DOUBLE ACE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MIYAKE (ADMINISTRATOR)
(909) 476-9922
Entity
Organization
Contact information
Practice address
8459 WHITE OAK AVE, #104, RANCHO CUCAMONGA, CA 91730-3872
(909) 476-9922
(909) 476-0033
Mailing address
8459 WHITE OAK AVE, SUITE 104, RANCHO CUCAMONGA, CA 91730-3872
(909) 476-9922
(909) 476-0033
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000879
CA
Other
Enumeration date
11/07/2006
Last updated
01/06/2012
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