| NPI | 1124780077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE BUNDALIAN TEJADA Managing Member 725-224-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |