| NPI | 1215503768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CATHERINE CHUA Administrator 909-904-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 311Z00000X Custodial Care Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-10-01 |