| NPI | 1053297366 |
|---|---|
| Former Legal Business Name | MEDHOME HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | KWAME AGYEMAN Medical Director/CEO 951-640-9517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |