| NPI | 1366685299 |
|---|---|
| Doing Business As | VISITING NURSES SENIOR HOME CARE |
| Entity Type | Organization |
| Authorized Contact | MARCUS EDWARD CLARK Individual Owner 909-240-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |