| NPI | 1073908315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKYLINE SPRINGER Owner/Manager 909-362-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CA 12299) |
| Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: CA 12299) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |