| NPI | 1316758709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANTATA JANICE SHONUYI Executive Director 951-401-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 315D00000X Hospice, Inpatient | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |