Organization
GRAPEVINE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOLITA T CUNANAN R.N. (DIRECTOR PATIENT CARE SERVICES)
(909) 483-6505
Entity
Organization
Contact information
Practice address
8350 ARCHIBALD AVE, SUITE 211, RANCHO CUCAMONGA, CA 91730-3669
(909) 483-6505
(909) 483-6503
Mailing address
8350 ARCHIBALD AVE, SUITE 211, RANCHO CUCAMONGA, CA 91730-3669
(909) 483-6505
(909) 483-6503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
CA
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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