| NPI | 1336178292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DENNIESE STOVALL WILSON Administrator 661-273-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2025-09-11 |