| NPI | 1255407334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBERTY OCTOMAN CASTILLO Administrator 818-545-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 980001573) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |