| NPI | 1164073532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUVLY WEST Administrator 951-299-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-05-02 |