| NPI | 1326735283 |
|---|---|
| Former Legal Business Name | MR. |
| Entity Type | Organization |
| Authorized Contact | ERIC EFUETNGU Manager 951-318-5396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |