| NPI | 1124805932 |
|---|---|
| Former Legal Business Name | BUSINESS NAME NO SPACE |
| Entity Type | Organization |
| Authorized Contact | BOH FIELDING Owner 408-306-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |