| NPI | 1114542800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHEBE SIMMONS Treasurer 209-815-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |