| NPI | 1053581892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN C QUERUBIN Asst. Administrator 909-373-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 550000495) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2018-03-17 |