| NPI | 1154624443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIE BOAL Compliance 909-644-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA HHA08076F) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2022-02-03 |