| NPI | 1235830449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN WHITE CEO/Administrator 909-201-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |