| NPI | 1043838154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIELIN KISON BACCAY CEO/Administrator 818-869-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2025-08-14 |