NPI | 1033554514 |
---|---|
Entity Type | Organization |
Authorized Contact | COULSANSER JOHNSON Lvn 562-230-3354 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 385H00000X Respite Care |
251T00000X PACE Provider Organization | |
311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA VN192615) | |
Enumeration Date | 2013-05-09 |
Last Update Date | 2019-12-19 |