| NPI | 1093069635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON MADRID Co Owner 877-221-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 251E00000X Home Health | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |