| NPI | 1063025633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SEPULVEDA Owner /CEO 855-922-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-12-16 |