| NPI | 1194940395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVINA D. RUSSELL Dpcs/President 323-807-5196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: CA 25G00000X) |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2009-01-27 |