Vineyard Home Healthcare LLC

NPI #1053708495 in Rancho Cucamonga, California

Provider Information

NPI Number
1053708495
Entity Type
Organization
Organization Name
Vineyard Home Healthcare LLC
Primary Specialty
Home Health
Enumeration Date
Apr 23, 2015
Last Updated
Apr 23, 2015

Practice Location

Address
9605 ARROW RTE
Address 2
SUITE S,
ZIP Code
91730-4555
Phone
(909) 987-0300

Authorized Official

Name
MR. TIMOTHY O. IMONI
Title
CEO
Phone
(909) 987-0300

Specialties & Taxonomy Codes

Specialty
Home Health

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Provider Name
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