| NPI | 1245824317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADWOA SERWA OSEI NAYRKO Administrator 805-587-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251B00000X Case Management |
| 251F00000X Home Infusion | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-12-02 |