| NPI | 1083796973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONETTE CHARISSE LUMBSDEN Administrator 909-949-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 240000818) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |