| NPI | 1003536012 |
|---|---|
| Doing Business As | WC HOME SERVICES |
| Entity Type | Organization |
| Authorized Contact | EMMA JACKSON Manager 909-614-3039 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-08-02 |