| NPI | 1093387185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN BACULI Administrator 714-642-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 164X00000X Licensed Vocational Nurse | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 227800000X Respiratory Therapist, Certified | |
| 363L00000X Nurse Practitioner | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-08-02 |