| NPI | 1265079164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CATHERINE KOH CHUA Administrator 909-945-9899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-05-13 |