| NPI | 1043956394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHESIAS JOHNSON Administrator/Ow Er 310-749-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-07-12 |