Professional Health Care Provider
NPI #1881985232 in Diamond Bar, California
Provider Information
- NPI Number
- 1881985232
- Entity Type
- Organization
- Organization Name
- Professional Health Care Provider
- Primary Specialty
- Home Health
- Enumeration Date
- Apr 20, 2011
- Last Updated
- Apr 20, 2011
Practice Location
- Address
- 406 S PROSPECTORS RD
- City
- Diamond Bar
- State
- California
- ZIP Code
- 91765-1659
- Phone
- (909) 860-3080
Authorized Official
- Name
- MRS. ROSITA CRUZ FORD, RN
- Title
- ADMINISTRATOR
- Phone
- (909) 860-3080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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