| NPI | 1306689682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKITA T JOHNSON CEO 951-464-8587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |