| NPI | 1083084123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANN CORNELL Owner/Manager/Hha 909-206-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 12796) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |