| NPI | 1174192892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DECKER Mgr 949-463-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-21 |