| NPI | 1003693805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK O AGBONKONKON President 661-444-2452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |