| NPI | 1043891062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINNA NICOLE CHING - ALTAVAS Administrator 661-388-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |