| NPI | 1164980439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERILL A. DOMINGO Owner/ 408-806-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |