Direct Provider of Healthcare Services, Inc.
NPI #1003056292 in Rancho Cucamonga, California
Provider Information
- NPI Number
- 1003056292
- Entity Type
- Organization
- Organization Name
- Direct Provider of Healthcare Services, Inc.
- Primary Specialty
- Home Health
- Enumeration Date
- Feb 27, 2009
- Last Updated
- Sep 16, 2025
Practice Location
- Address
- 9320 BASE LINE RD STE B
- City
- Rancho Cucamonga
- State
- California
- ZIP Code
- 91701-5829
- Phone
- (909) 483-8311
Authorized Official
- Name
- SUSAN PANGANIBAN, RN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (909) 483-8311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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