| NPI | 1063950780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL KHUMALO Director 951-675-9058 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 201210710137) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: CA 201210710137) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |