| NPI | 1033307517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE B MARCELO President 714-956-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 550000846) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-03-23 |