| NPI | 1174522700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN BUNOAN MANALO Administrator 909-396-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 980000959) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2017-11-06 |