NPI 1003056292
Direct Provider of Healthcare Services, INC.
Practice location
- Address
- 9320 Base Line Rd STE B, Rancho Cucamonga, CA 91701-5829
- Phone
- (909) 483-8311
- Fax
- (909) 483-8382
Authorised official
- Name
- Susan Panganiban
- Title
- Chief Executive Officer
- Phone
- (909) 483-8311
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1003056292
- Entity type
- Organization
- NPI issued
- 27 Feb 2009
- Record last updated
- 16 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.