| NPI | 1003055195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY ACOSTA Owner/Operator/Administrator 916-714-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 100000543) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2020-01-17 |