| NPI | 1366885121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE E WHITEHEAD Owner/Administrator 760-409-0327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 201230510135) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |