| NPI | 1215701719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GELE BANZON FERNANDEZ Administrator/Owner 909-787-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |