| NPI | 1083134738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY ELLIS GAINES President/ Managing Member 909-360-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CA 364700044) |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2023-02-01 |