| NPI | 1275253569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYNALDA TATAW President 909-999-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |