| NPI | 1134891179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED BRUCE Owner 760-484-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |